What You Should Know
- The Deployment: Your Health, a rapidly growing senior-focused primary and specialty care organization, has deployed Fathom’s autonomous medical coding platform across its entire operation (spanning 14 physician offices, 278 assisted living facilities, 11 nursing homes, and telehealth).
- The Automation Scale: Since going live in October 2025, Fathom has achieved a staggering 95.5% encounter-level automation rate—meaning AI is completely handling the coding for the vast majority of their 1 million annual patient visits without human intervention.
- The Accuracy Jump: Automation didn’t come at the cost of quality. Coding accuracy actually improved from 96.3% (human-led) to 98.3% under the Fathom AI platform.
- The Financial ROI: Your Health captured more complete and specific ICD-10 resulting in a 0.66 year-over-year increase in average risk adjustment factors (RAFs). This precision yielded a +$35M revenue benchmarking increase, plus an extra $511K in annual revenue from better G2211 add-on code capture.
- The Speed: The AI implementation drove a two-day reduction in claim date to cash, significantly accelerating the organization’s revenue cycle.
Achieving Better-Than-Human Accuracy
Your Health, a massive senior-focused care organization managing over 1 million patient visits a year across the Southeast, announced the results of its deployment of Fathom’s autonomous medical coding platform. The numbers are nothing short of a paradigm shift for Revenue Cycle Management (RCM).
After going live with the platform across its clinics, assisted living facilities, and a sprawling telehealth network in October 2025, Your Health achieved a staggering 95.5% encounter-level automation rate. That means the AI is processing the clinical notes, assigning the codes, and pushing the claims through entirely touchless from day one.
More importantly, the AI is objectively better at the job. Under the previous, human-driven approach, Your Health’s coding accuracy sat at 96.3%. With Fathom’s deep learning platform—trained on over 750 million patient encounters—that accuracy rate jumped to 98.3%.
Because Fathom’s AI reads the entire clinical note without fatigue, it captures a much more complete diagnostic picture. For Your Health, this resulted in a 0.66 year-over-year increase in their average risk adjustment factor (RAF) scores.
$35M+ Revenue Benchmarking Increase
Translating that to the balance sheet is where the true ROI of autonomous coding becomes undeniable. This precision drove a +$35M revenue benchmarking increase for the organization. Furthermore, the AI achieved a 3x increase in capturing G2211 add-on codes—unlocking over half a million dollars in previously left-on-the-table annual revenue—and cut the time it takes to get paid by two full days.
