#USA #Austin, Texas #Milagro #CodeGuard #ClaimGuard

Milagro Launches CodeGuard and ClaimGuard

On September 15, 2025, Milagro, a prominent name in AI-driven healthcare revenue cycle solutions, made waves in the medical community with its launch of two pivotal products: CodeGuard and ClaimGuard. Designed to confront prevalent challenges in surgical revenue cycle management, these tools mark a significant step forward for hospitals seeking efficiency and accuracy in their operations.

Addressing Surgical Revenue Cycle Challenges

The surgical revenue cycle can often be a tumultuous journey for healthcare providers, riddled with delays and financial pitfalls. Milagro’s new offerings promise to minimize these issues through advanced technology that prioritizes accuracy and speed.

CodeGuard: Revolutionizing Surgical Coding

CodeGuard stands out as the first platform capable of autonomously coding complex surgical cases across various outpatient specialties. Utilizing cutting-edge AI and clinical algorithms, CodeGuard processes procedures in real-time, which eliminates bottlenecks that typically plague coding. With its seamless integration into Electronic Health Records (EHR) systems, the platform not only ensures exceptional coding accuracy but also provides auditable transparency, helping healthcare organizations enhance their financial recovery and operational efficiency.

Some highlighted features of CodeGuard include:

• - Accelerated coding turnaround from days to mere minutes.
• - Reduced staffing costs and dependence on hard-to-hire coders.
• - Enhanced accuracy which safeguards against under-coding and related denials.

ClaimGuard: Preventing Revenue Losses

Accompanying CodeGuard is ClaimGuard, an innovative solution focused on minimizing pre-authorization mismatches, which are often a major contributor to revenue losses in surgical operations. By employing real-time AI, ClaimGuard swiftly identifies any discrepancies in procedures as they occur, producing insights that inform whether re-authorization is needed for payment. This capability not only protects revenues but also decreases write-offs without altering existing operational workflows.

Key advantages of ClaimGuard include:

• - A staggering reduction of up to 95% in pre-authorization mismatch denials.
• - Nearly $4 million recovered in revenue for every 10,000 surgeries conducted.
• - Compatibility with various EHR systems, including support for Epic, functioning either alongside CodeGuard or independently.

A Client-Centered Approach

Amit May Dan, CEO and Co-founder of Milagro, emphasized the company's dedication to addressing the practical needs of healthcare providers: “At Milagro, we believe hospitals deserve solutions that are both practical and powerful. CodeGuard and ClaimGuard were built to tackle real-world challenges our clients face daily—delivering accuracy, speed, and confidence in the most critical parts of the surgical revenue cycle.”

Healthcare institutions have the flexibility to implement these tools individually or collectively. This adaptability supports enhanced financial performance and operational growth.

About Milagro

As an innovator in healthcare technology, Milagro is committed to advancing revenue cycle management through robust AI automation. With a track record of delivering proven returns on investment and ensuring financial stability, Milagro has become a trusted partner for leading health systems across the country.

For more information about how CodeGuard and ClaimGuard can benefit healthcare providers, interested parties can reach out to Milagro’s media contact: Haddas Eshel, Marketing Communications Director, at [email protected].