Why Manual Coding Falls Short
AI-Powered Clinical Coding Without the Cleanup
Our Appian Performance Tuner (APT) enables organizations to get the most from previous investments. Appian (appian.com) is an industry leading low-code development platform that provides a one-stop-shop for building robust workflow, robotic process automation and AI centric applications. Appian is an extremely powerful solution that can solve a variety of business problems using data centric innovative easy to build tools. Appian allows citizen developers to rapidly create enterprise applications, but sometimes the number of applications outpaces the server power required to ensure Appian runs fast and efficiently. As a result, Appian applications can start running very slow.
The Problem
A slow application can be more detrimental than a down application. Slow apps lead to stopped business and lost customers. Side effects can include erroneous data, end user frustration, disrupted operations, overwhelmed support teams and expensive time-consuming fixes.
The Solution
Odesso provides the most comprehensive, cost effective and fast solution to speed up your Appian applications. Our proprietary method is complex and has been perfected over 20 years, and the results are simple.
98%+ Accuracy in Live Environments
Validated in high-volume clinical settings—trusted for compliance, outcomes, and ROI.
Real-Time Code Extraction
Automatically converts free-text notes into structured codes at the point of care.
Context-Aware NLP
Understands narrative nuance without templates, macros, or provider prompts
Audit-Ready by Design
Includes built-in traceability, CMS-aligned rules, and full coding explainability.
EMR-Ready & Interoperable
Seamlessly integrates with Epic, Athena, Cerner, and other major platforms.
Built to Scale Across Markets
Supports multiple specialties, states, and risk-bearing entities—out of the box
Reduce Load Time
Reduce application load times from from seconds to sub-seconds. Typically, a page that loads in 10-15 seconds will be reduced to under 2 seconds. timeouts are reduced by 99%
No Lost Data
Say goodbye to data loss. Any transactional data that gets ‘stuck’ due to high traffic or an outage will be queued and available when services are restored.
Agile Monitoring
Proactive alerts and fixes, over and beyond the standard health check and application monitoring provided by Appian will be put in place.
Increase Processing Output
External Service calls like APIs or SFTP will be optimized for maximum speed and processing throughput.
Virtually Eliminate Timeouts
Timeouts are reduced by 99%
The Appian Performance Tuner (APT) refers to a way to speed up your applications, often achieving 10-20X previous speeds. It allows your workflow automation investment to scale with ease over simple internet connections. This allows your customers and employees to continue accelerating business while your orchestrated processes, organizational data and securitization mechanisms are responsive and resilient to unexpected loads
A typical Appian application utilizes processing power at the web, application, engine and database layer. APT is engineered to identify and remediate latency issues (potentially residing in more than one layer of the technology stack) quickly and with minimal impact to business continuity.
Deploy in weeks, see results in days. Our platform is designed to start delivering value fast, with measurable improvements in coding accuracy, throughput, and audit-readiness. And with built-in support for CMS updates and quality reporting, it ensures your organization stays ahead of regulatory shifts.
Many automation tools rely on rigid templates or static models that break down with real-world variability. Odesso adapts in real-time, learning from your data and continuously improving its precision.
APT is your best option in a ‘fire fighting’ scenario when mission critical apps are slow and a reactive approach is needed. However, APT is also custom-instrumented to monitor apps of highest criticality, in the areas of highest vulnerability in performance. While Appian itself provides a health check report and performance analytics, the onus is on Appian administrators to instrument, monitor, set thresholds and appropriate alerts to proactively catch problems before they occur.
Several off the shelf Application Performance Monitoring tools can help identify latencies in Appian’s tech stack, but these tools lack critical visibility by virtue of the fact that Appian is a low-code development platform. Much of the performance vulnerabilities and non-functional risks in Appian are inconspicuously embedded within the application layer where citizen developers are visually coding their business logic. For example, a citizen developer could draw a process model that is a loop that repeats recursively. When this process model is published for use, it will indefinitely process a transaction and lead to memory leaks that will eventually crash Appian’s engines. An off the shelf APM tool will not be able to pinpoint the exact root cause in the application layer, beyond identifying a resource-intensive process running in the app layer that needs to be addressed.
In contrast, the APT finds this memory leak in seconds, as opposed to hours. The APT is attuned to examine the application layer in the context of Appian being a development platform. It flags and identifies areas for improvement and quickly resolves them in a systematic and automated manner.
AI-driven solutions to boost coding accuracy, financial performance, and care quality at scale.
Risk Adjustment & RAF Optimization
Autonomously capture accurate risk data to drive RAF scores and maximize reimbursement—without slowing down chart closure.
Multi-Specialty Coding Ops
Support complex coding requirements across cardiology, endocrinology, nephrology, and more—with zero templates or specialty-specific configuration.
Primary Care & ACO Enablement
Enable point-of-care coding for busy primary care providers and ACO teams, ensuring risk and quality data is captured pre-visit or at the visit.
HCC Recapture & Quality Gap Closure
Surface missing diagnoses and care gaps using prospective logic—improving audit readiness, quality scores, and care outcomes.
Here's a overview of APT's features and benefits when deployed:
Instant Results
Improve performance by over 50% within minutes after installation
Hot Deployment
Servers and systems don’t need to be rebooted, they keep running to maximize business continuity
Data Security
Back up data that is at risk of being lost immediately
Eliminate Redundancy
Queue any transactions that may be at risk, avoiding the need for re-entry and reprocessing.
Ingest Clinical Notes
Works with structured or free-text notes from your EMR.
Parse Documentation
Context Understands SOAP, problem lists, and embedded findings.
Extract & Validate Codes
Applies compliance rules and assigns ICD-10, CPT, HCC, and HCPCS codes.
Identify Quality Measures
Surfaces BP, HbA1c, screenings, and other contract-critical indicators.
Push to Downstream Systems
Sends outputs to EMRs, billing tools, and analytics platforms.
Audit Trail & Monitoring
Traceable records for every code, for compliance and reviews.
APT is an adaptive technology that can be deployed in Appian’s AWS Cloud installation or in an On-Premise setting. APT is not an analytics only solution, it remediates performance issues instead of simply identifying them. APT’s key features include:
Analyze Processes
Analyze Appian processes, SAIL, data structures and transactional throughput metrics in real time.
Convert
Proprietary technology to convert interchangeable objects between SAIL, SQL and Process Models (BPMN) to quickly redesign non-performant objects.
Customize
Custom Instrumentation of the most critical business processes at the application layer.
Analyze Database
Analysis, Monitoring and Notification within the Application, Engines and Database layers.
Transactional Throttling
Transactional Throttling features to batch, spawn, optimize and add exception handling to high data loads.
Stop Data Loss
Intelligent Queuing to eradicate data loss from network, system, server or connection outages.
Kafka Streaming
Kafka enablement to enhance responsiveness of data intensive interfaces and provide real-time application streaming.
Optimize Server
Server Resource Optimization to reallocate network/compute/storage resources to critical business functions.
Odesso CodeAI powers risk adjustment and clinical operations in some of the largest VBC organizations nationwide. HIPAA-ready and CMS-aligned, our engine is trusted by health systems, ACOs, and primary care innovators.
✅ Used in multi-state provider groups
✅ Backed by audit logs and explainability
✅ Seamless EMR Integration, Zero Workflow Disruption
Faster Turnaround
Code patient charts in seconds—not days. Keep pace with provider workflows and reduce time-to-bill across all markets.
Unmatched Accuracy
Trusted in high-volume environments to minimize denials, reduce rework, and ensure consistent audit success.
Risk Adjustment
Extract compliant HCCs, quality metrics, and billing codes that impact RAF scores and value-based reimbursement.
See how Odesso’s autonomous medical coding engine helps you reduce costs, improve RAF accuracy, and scale VBC performance—without disrupting clinical workflows.
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