Fathom

Coded charts go direct to bill, and the Your Health deployment connected to athenahealth through Data View across all care settings in one deployment. No integration catalog, write back mechanism or list of supported EHRs is published by Fathom.

SourceFathom, fathomhealth.com/insights/your-health-deploys-fathom-autonomous-medical-coding-to-achieve-95-5-automation-rate-at-98-3-accuracy-rate-across-all-service-lines and /servicesread 2026-10-06

In one step, incoming charts are reviewed, those the system can code are coded and sent direct to bill, and the remainder pass to the customer's coding operation, across facility and professional fee service lines and every place of service. Each chart is either coded without a touch or routed to a coder, and no flow builder is offered.

SourceFathom, fathomhealth.com/services and /insights/your-health-deploys-fathom-autonomous-medical-coding-to-achieve-95-5-automation-rate-at-98-3-accuracy-rate-across-all-service-linesread 2026-10-06

Codes are calibrated to the customer's coding guidelines and payer mix. At Your Health that reaches down to ICD sequencing and combination codes, G2211 add on capture and modifier 25 handling. Revised guidelines such as the emergency medicine E/M changes are adopted centrally. The coding knowledge lives in a model trained on more than 750 million encounters, and Fathom names no maintained knowledge source the system retrieves from.

SourceFathom, fathomhealth.com/insights/your-health-deploys-fathom-autonomous-medical-coding-to-achieve-95-5-automation-rate-at-98-3-accuracy-rate-across-all-service-linesread 2026-10-06

Charts the system cannot code pass to the customer's coders, but coded charts go direct to bill with no human intervention required. Fathom names no approval step and publishes no threshold before a code commits. The audit product edits errors in coders' work and flags problematic coding for a person to review.

SourceFathom, fathomhealth.com/services and fathomhealth.comread 2026-10-06

A Certified Public Accounting firm audited Fathom's HITRUST (i1 certified), HIPAA and SOC 2 Type 2 compliance. Its policies cover application and infrastructure security, business continuity, incident management, data privacy, threat and vulnerability management, disaster recovery, access management and workforce training. Vulnerabilities can be reported to security@fathomhealth.com. Access management is named only as a policy area, and Fathom names no SSO, roles or permission model for the customer's own users.

SourceFathom, fathomhealth.com/securityread 2026-10-06

There is no published record of what the automation read and coded for each chart, and no reporting surface. The Audit complete product looks at every coded chart and flags potential denials or unnecessary downcoding. It reviews the work of coders or a coding vendor, not the system's own actions.

SourceFathom, fathomhealth.com/servicesread 2026-10-06

Each chart is coded from its own documentation, against guidelines and payer mix calibrated for the customer. Fathom describes no memory layer.

SourceFathom, fathomhealth.com/services and /insights/your-health-deploys-fathom-autonomous-medical-coding-to-achieve-95-5-automation-rate-at-98-3-accuracy-rate-across-all-service-linesread 2026-10-06

No hosting region, region choice, customer environment or on premises option is published. Fathom has infrastructure security and disaster recovery policies but does not say where the platform runs.

SourceFathom, fathomhealth.com/securityread 2026-10-06

There are three separate offerings. Coding automation handles facility and professional fee charts with E/M capture and provider assignment, Audit complete checks a coder's or coding vendor's work in real time, and retrospective risk adjustment coding for health plans and value based providers captures HCCs exhaustively for accurate RAF scores and has its own RFP guide. Fathom reports more than 63 million encounters coded.

SourceFathom, fathomhealth.com and /servicesread 2026-10-06

Incoming charts reach the system without a person launching each one, and the audit product looks at every coded chart in real time. Fathom does not describe how charts are fed in.

SourceFathom, fathomhealth.com/servicesread 2026-10-06

Fathom runs its own deep learning and NLP models, trained on over 750 million patient encounters, with no customer model choice or routing.

SourceFathom, fathomhealth.com/insights/your-health-deploys-fathom-autonomous-medical-coding-to-achieve-95-5-automation-rate-at-98-3-accuracy-rate-across-all-service-lines; fathomhealth.com/insights/fathom-secures-strategic-investment-from-cvs-health-ventures-to-accelerate-enterprise-wide-autonomous-codingread 2026-10-06

Fathom publishes no API, SDK or MCP server for its platform, and the one named EHR connection runs through athenahealth's Data View.

SourceFathom, fathomhealth.com and /insights/your-health-deploys-fathom-autonomous-medical-coding-to-achieve-95-5-automation-rate-at-98-3-accuracy-rate-across-all-service-linesread 2026-10-06

No evaluation harness, test set or quality gate for the customer to run on the automation is published. Before go live, Fathom runs a proof of concept on a high volume of the customer's encounters and measures accuracy at the encounter level. At Your Health, accuracy rose from 96.3% to 98.3% and 95.5% of encounters were coded on day one. KLAS surveys are third party customer interviews, and the Audit product reviews coders' work.

SourceFathom, fathomhealth.com/insights/your-health-deploys-fathom-autonomous-medical-coding-to-achieve-95-5-automation-rate-at-98-3-accuracy-rate-across-all-service-lines and /services; fathomhealth.com/servicesread 2026-10-06

The system codes from clinical documentation and sends charts to billing. Fathom names no browser, desktop or computer control.

SourceFathom, fathomhealth.com/servicesread 2026-10-06