Regard vs SmarterDx
Two Revenue Integrity & Pre-Bill Review vendors, side by side. Facts from public sources; judgments are ours.
At a glance
Derived from public facts · a rough scale, not a ranking
| Regard | SmarterDx | |
|---|---|---|
| Pricing model | Not published · Health system contracts | Contingency (pay from recoveries) · paid only from net new revenue |
| Speed to go live | System-wide EHR embed with chart data access | weeks, sidecar to existing coding workflow |
| Automation model | AI copilot · diagnosis suggestions inside the chart | Software platform · AI prebill review, human in loop |
| Built for | Enterprise systems | Enterprise systems |
| Security posture | No certifications published | SOC 2 Type II, HIPAA |
| Company maturity | 9 yrs (est. 2017) | 6 yrs (est. 2020) |
| Financial backing | $80M+ · Series B | PE-backed (Smarter Technologies, a New Mountain Capital platform) |
| Named customers | 4 named | 3 named |
| Published results | No public numbers | Specific numbers public |
| Documented integrations | 1 listed | 3 listed |
| Third-party validation | None found | KLAS / analyst cited |
Bottom line
- Pick Regard if you run a hospital or health system and want an EHR-embedded copilot that surfaces missed diagnoses and drafts documentation for clinicians.
- Pick SmarterDx if you are a hospital that wants found revenue from every chart with no upfront budget or workflow change.
Regard
AI that surfaces undocumented diagnoses in the workflow
- Founded
- 2017
- HQ
- Los Angeles, CA
- Stage
- Series B
- Raised
- $80M+
What it does
- Reviews the full patient chart inside the EHR
- Surfaces missed or undocumented diagnoses to clinicians
- Drafts clinical notes with supporting evidence linked
- Runs concurrently during the stay, not post-discharge
- Improves documentation for both revenue and quality metrics
Where it's strong
- Works concurrently inside the clinician's Epic workflow, so diagnoses are captured while the physician can still act on them, unlike post-discharge review tools.
- Multi-year, system-wide proof: Sentara scaled to all 12 hospitals after 2-4x ROI, and Banner rolled it toward 33 hospitals.
- Cedars-Sinai is investor, development partner, and customer, giving unusual clinical depth for a company this size.
What buyers should weigh
- Requires physician adoption to deliver value, a harder change-management lift than back-office tools your clinicians never see.
- Smaller war chest (roughly $80M raised) than several competitors chasing the same documentation dollars.
- Value proposition mixes clinical decision support with revenue capture; make sure your compliance team is comfortable with how diagnosis suggestions are framed.
Named customers
Cedars-Sinai · Banner Health · Sentara Health · WakeMed Health & Hospitals
Integrations
SmarterDx
Pre-bill AI review that finds missed revenue and quality
- Founded
- 2020
- HQ
- New York, NY
- Stage
- PE-backed (Smarter Technologies, a New Mountain Capital platform)
- Raised
- $71M
What it does
- Reviews 100% of inpatient charts pre-bill
- Finds missed diagnoses, DRG shifts, and CC/MCC capture
- Generates AI-drafted appeals for clinical denials
- SmarterNotes ties note generation to revenue cycle intelligence
- Shows clinical evidence trail for every recommendation
Where it's strong
- Physician-founded pre-bill engine with audited results: roughly $2M net new revenue per 10,000 discharges, a 98 KLAS satisfaction score, and reported 100% client retention.
- Reviews every discharge rather than a sample, which is what makes the second-look economics work.
- New Mountain Capital backing pairs it with Access Healthcare's services scale inside Smarter Technologies.
What buyers should weigh
- Now part of a PE roll-up (merged with Access Healthcare and Thoughtful.ai in May 2025), so expect cross-sell pressure and possible roadmap shifts toward the combined platform.
- Value is concentrated in inpatient DRG reimbursement; ambulatory-heavy or critical-access organizations will see less benefit.
- It functions as a second-look layer on top of your existing CDI team and tech, an added cost line rather than a replacement.
Named customers
Novant Health · McLaren Health Care · UAMS
Integrations
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