NovoCPT Features and Pricing — What You Need to Know

NovoCPT Features and Pricing — What You Need to Know—

NovoCPT is an emerging platform designed to streamline clinical procedural tracking, billing, and compliance workflows for healthcare providers. Whether you’re a practice manager evaluating software options or a clinician wanting to understand how NovoCPT affects daily workflows, this article covers the platform’s core features, pricing structure, implementation considerations, and pros and cons to help you decide if it’s the right fit.

What is NovoCPT?

NovoCPT is a cloud-based clinical procedure tracking and coding tool that integrates with electronic health records (EHRs) and practice management systems. It aims to reduce coding errors, speed up claims submission, and provide analytics for utilization, revenue cycle, and compliance oversight. NovoCPT typically targets small-to-medium practices, ambulatory surgical centers, and specialty clinics that perform a high volume of procedures requiring precise CPT (Current Procedural Terminology) coding.

Core Features

• Automated CPT code suggestions

  • Uses rule-based logic and machine learning to suggest CPT codes based on procedure notes, imaging, and structured encounter data.
  • Provides confidence scores for suggested codes and highlights conflicts with diagnosis codes.

• EHR and practice-management integration

  • Bidirectional interfaces that allow code suggestions to flow into the EHR and completed claims/status updates to return to the NovoCPT dashboard.
  • Supports common interface standards (HL7, FHIR) and offers custom integrations.

• Claims scrubber and validation

  • Pre-submission scrubber that flags missing modifiers, bundling conflicts, and potential denials before claims leave the practice.
  • Checks for payer-specific rules and edits.

• Modifier management

  • Suggests appropriate modifiers and enforces organizational modifier policies.
  • Tracks modifier usage trends to identify areas of undercoding or overcoding.

• Audit trail and compliance reporting

  • Maintains detailed logs of coding decisions, user edits, and rationale for selections—useful for internal audits and external payor inquiries.
  • Generates reports for compliance teams and supports an audit-ready posture.

• Revenue analytics and dashboards

  • Visualizes procedure volume, payer mix, denied claims, average reimbursement per CPT, and other revenue metrics.
  • Customizable dashboards and scheduled reports.

• Documentation support

  • Templates and smart snippets to standardize procedure notes, improving coding accuracy and reducing variability across clinicians.
  • Speech-to-text and structured data capture options.

• Role-based access control and security

  • Granular permissions for coders, clinicians, billing staff, and administrators.
  • HIPAA-compliant hosting, encryption at rest and in transit, and SOC 2 considerations.

• Training and support

  • Onboarding assistance, online knowledge base, and customer support tiers (email, phone, dedicated account manager for enterprise customers).

Pricing Overview

Pricing models for NovoCPT typically fall into the following categories:

• Per-user subscription

  • Monthly or annual fee per active user. Tiers vary by role (coder vs clinician) and feature access.

• Per-facility or per-provider license

  • Flat fee for a clinic or per provider in a group, often used by multi-provider practices.

• Per-claim or volume-based pricing

  • Charges based on the number of claims processed or CPT-coded procedures per month.

• Enterprise/custom pricing

  • For large organizations with custom integrations, advanced analytics, and service-level agreements.

Typical price ranges (approximate, illustrative):

• Small practices: \(20–\)60 per user/month or \(300–\)1,000 per month for a small clinic license.
• Mid-size practices: \(1,000–\)5,000 per month depending on volume and integrations.
• Enterprise: Custom pricing, often with multi-year contracts and implementation fees.

Add-ons and additional costs:

• Integration/setup fees (one-time)
• Training and change-management services
• Premium support or dedicated account management
• Custom reports or workflow automations

Implementation Considerations

• Integration complexity

  • Assess EHR compatibility and whether NovoCPT supports your EHR’s integration standard (FHIR, HL7). Custom integrations increase time and cost.

• Data migration

  • Plan for migrating historical coding and claims data if needed. Verify retention, mapping, and reconciliation strategies.

• Workflow changes

  • NovoCPT may alter how clinicians document procedures and how coders review notes—expect a transition period and training needs.

• Compliance and security

  • Review HIPAA business associate agreements (BAA), data residency, encryption standards, and audit logs.

• ROI measurement

  • Track metrics like reduction in claim denials, increased coding accuracy, faster claim turnaround, and net revenue lift to justify investment.

Pros and Cons

Typical Use Cases

• Ambulatory surgical centers aiming to reduce denied claims and accelerate reimbursement.
• Specialty clinics (orthopedics, cardiology, gastroenterology) with complex procedure coding needs.
• Billing services and revenue cycle organizations that manage coding for multiple practices.
• Compliance teams needing audit-ready logs and reports to respond to payer inquiries.

Tips for Evaluating NovoCPT

• Request a demo that includes a walk-through with sample notes from your specialty.
• Pilot with a small group of providers to measure real-world impact on denials and throughput.
• Clarify integration scope, SLAs, and total cost of ownership (including hidden fees).
• Ask for references from practices with similar size and specialty.
• Negotiate implementation milestones tied to measurable outcomes (e.g., reduction in denials).

Final Thoughts

NovoCPT can deliver meaningful improvements in coding accuracy, revenue cycle efficiency, and compliance readiness for practices with substantial procedural volume. The value depends on successful integration with existing EHR systems, staff adoption, and careful measurement of ROI. If your practice regularly encounters coding complexity or high denial rates, a focused pilot will quickly reveal whether NovoCPT’s features justify the cost.