Calm Waters AI
Calm Waters AI provides an autonomous AI-powered E/M medical coding solution for healthcare providers, achieving 97% accuracy versus a ~65% human average. The Nashville-based Montecito Medical subsidiary serves physician groups and health systems via Epic and athenahealth integrations.
- Company typePrivate
- Founded2021
- HeadquartersNashville, United States
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
What Calm Waters AI does
Calm Waters AI is a private Nashville, Tennessee-based artificial intelligence company founded in 2021 that provides autonomous Evaluation and Management (E/M) coding solutions for healthcare providers. Operating as a subsidiary of Montecito Medical, the company targets ambulatory physician groups, specialty practices, and health systems that need to convert clinical documentation into compliant, audit-defensible reimbursement codes. Its customer base spans urology, orthopedics, oncology, primary care, geriatrics, behavioral health, and several additional specialties, with named enterprise accounts including OrthoCarolina, Nebraska Cancer Specialists (300+ oncology experts across 11 cancer centers), Arkansas Urology (approximately 130,000 patients annually across 14 facilities), and a 400+ physician multi-specialty group.
The company's core technology is an AI-driven autonomous coding engine that uses advanced Natural Language Processing and proprietary algorithms to read and interpret structured and unstructured text in medical records, generating E/M level recommendations in seconds with a 97% accuracy rate independently verified by Mazars USA. The platform integrates directly into Epic, athenahealth, Touchworks, eClinicalWorks, and Onco EHR environments, embedding CMS audit-defense documentation into each chart note. ChartPal, launched in September 2023, is a complementary documentation audit and physician training service that can be bundled with the core product. The solution is customizable to regional Medicare Administrative Contractor (MAC) guidelines, with automatic updates for ongoing regulatory compliance.
Calm Waters AI monetizes through annual SaaS subscriptions with quote-based enterprise pricing, augmented by ChartPal professional services revenue. Distribution combines direct enterprise field sales, strategic partnerships with large regional specialty provider groups that serve as reference customers and channel advocates, and self-service marketplace listings on Epic Connection Hub and athenahealth Marketplace. The company has raised between $1.5 million and $2.5 million under SEC Rule 506(b), reports 11–50 employees, and is led by President Joe Ferro and Chairman Chip Conk, with a senior team whose combined healthcare IT and medical coding experience exceeds 100 years.
Calm Waters AI firmographics
Firmographics- Name
- Calm Waters AI
- Legal name
- Calm Waters AI, Inc.
- Website
- https://calmwatersai.com
- Company type
- Private
- Founded year
- 2021
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Calm Waters AI provides an autonomous AI-powered E/M medical coding solution for healthcare providers, achieving 97% accuracy versus a ~65% human average. The Nashville-based Montecito Medical subsidiary serves physician groups and health systems via Epic and athenahealth integrations.
- Ownership category
- akta.pro rank
Calm Waters AI industry classification
Industry- Product category
- Healthcare Revenue Cycle Software
- NAICS
- Computer Systems Design and Related Services (54151), Computer Systems Design Services (541512)
- SIC
- Services-Prepackaged Software (7372), Services-Computer Integrated Systems Design (7373)
- akta.pro primary industry
- iBPMS (Intelligent BPM Suites) & Process Automation Suites (HDAEAHAG)
Keywords
Where Calm Waters AI is headquartered
LocationHeadquarters
- HQ city
- Nashville
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Calm Waters AI business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations
Revenue model
- SaaS Subscription for Autonomous E/M Coding: Calm Waters AI operates as a SaaS solution that healthcare providers subscribe to for autonomous E/M coding capabilities. The solution reads charts, generates code recommendations, and provides audit defense documentation integrated into provider EHR workflows. Revenue is generated through recurring subscription fees for access to the AI-powered coding platform.
- ChartPal Training and Consulting Services: ChartPal provides personalized E/M documentation and coding evaluation and training services. This complementary service includes chart audits, coding reviews, and face-to-face training sessions for clinical professionals. Can be purchased independently or bundled with the Calm Waters AI coding solution.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise pricing for healthcare provider organizations |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels7 records
Calm Waters AI product offering
Product offeringCore offering
Calm Waters AI provides an AI-driven autonomous Evaluation & Management (E/M) coding platform that uses Natural Language Processing and proprietary algorithms to read and interpret structured and unstructured text in medical records and translate it into compliant E/M levels. The platform integrates directly into major EHR systems (Epic, athenahealth, Touchworks, ECW, Onco) and produces audit-defensible code recommendations with a documented 97% accuracy rate. A complementary ChartPal service delivers E/M documentation evaluation and physician training.
Product overview
Calm Waters AI offers a platform-plus-services architecture centered on autonomous E/M coding. The core product, Calm Waters AI (also marketed as Calm EM), is an AI-powered autonomous coding solution that uses advanced Natural Language Processing and proprietary algorithms to read medical records and generate compliant E/M levels with 97% accuracy. This core platform integrates directly into major EMR systems including Epic, athenahealth, Touchworks, ECW, and Onco. The complementary service, ChartPal, provides documentation audits, error identification, and face-to-face physician training to improve coding accuracy and compliance. When used together, Calm Waters AI delivers automated coding while ChartPal provides education and documentation improvement, enabling up to 30%+ average revenue increase in E/M-related billing.
Differentiator
Problem solved
Functional benefit
Brands
- ChartPal: A personalized E/M documentation and coding evaluation and training service that analyzes documentation practices and coding patterns to identify areas for improvement and education.
Products and services
- Calm Waters AI (Calm EM) AI-driven autonomous E/M coding SaaS that reads medical records, generates compliant E/M code recommendations with 97% accuracy, and embeds audit-defense documentation. Sold to healthcare providers, health systems, and hospitals.
- ChartPal Personalized E/M documentation and coding evaluation, audit, and training service for physicians and provider organizations. Identifies documentation gaps and delivers customized educational sessions to improve coding accuracy.
Quantifiable outcome
- 97% chart accuracy rate (vs. ~65% human average)
- +6 more outcomes
Companies that use Calm Waters AI
Customer profileNamed customers8 records
Segments3 records
Ideal customer profiles3 records
Calm Waters AI technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration5 records
AI capability4 records
Feature5 records
Calm Waters AI partnerships and signals
Strategic signalPartnerships
Seven partnerships are on record, tiered flagship, minor and core.
- Nebraska Cancer SpecialistsflagshipPartnership with Nebraska Cancer Specialists (NCS), a large regional specialty provider with 300+ oncology experts across 11 cancer centers. The accuracy-enhancing technology has been implemented and is fully operational. Dr. Robert Langdon, Practice President, noted anticipation that Calm Waters AI will elevate coding and documentation to new levels of accuracy and compliance.
- Arkansas UrologyflagshipPartnership with Arkansas Urology, a large regional specialty provider treating approximately 130,000 patients annually at 14 facilities. Denise Belford, Director of Business Operations, noted Calm Waters AI has become a strategic partner in improving coding workflows. The partnership has increased overall coding KPIs by an initial 30% with projections of 50% improvement.
- Physician HousecallsflagshipPartnership with Physician Housecalls, a home-based primary care provider specializing in elderly patients in Oklahoma, Kansas, and Missouri. The implementation significantly improved E/M coding speed and accuracy, reduced claims submission time, and enabled providers to spend more time caring for patients instead of paperwork.
- Mazars USA LLPminorMazars USA, a globally respected audit and advisory firm with 47,000+ professionals in nearly 100 countries, conducted independent quality audit of Calm Waters AI's autonomous coding application. The assessment confirmed 97% chart accuracy rate, providing third-party validation of the technology's performance.
- OrthoCarolinaflagshipPartnership with OrthoCarolina, a large nationally prominent orthopedic practice group. The implementation brings autonomous E/M coding to their organization, with expectation of significant ROI through improved reimbursement capture and coding accuracy. Bruce Cohen, M.D., CEO of OrthoCarolina, noted the solution will deliver significant return on investment.
- Epic SystemscoreCalm Waters AI's application (Calm EM) is available for download on Epic Connection Hub, where vendors share their interoperability capabilities with Epic software. This integration enables Epic users to access autonomous E/M coding without leaving their EHR workflow.
- athenahealthcoreCalm Waters AI joined athenahealth's Marketplace program in December 2022. The integrated application is now available to athenahealth's growing network of healthcare providers, offering autonomous coding designed to relieve clinician anxiety around E/M coding. The partnership enables seamless integration with athenahealth's EHR platform.
Scale indicators8 records
Recent moves6 records
Expansion highlights4 records
Calm Waters AI competitors and assessment
Company assessmentEmerging players
- Olive AI: Olive AI automates revenue cycle and administrative workflows for hospitals and health systems, including coding and prior authorization use cases. Directly overlaps with Calm Waters AI's autonomous revenue cycle automation positioning, though Olive has a broader workflow scope.
- Suki AI: Suki offers an AI voice assistant that generates clinical notes and supports coding/EHR workflows for physicians. Competes for the same physician time-saving and documentation accuracy budget that Calm Waters AI addresses, especially via its ChartPal service.
- DeepScribe: DeepScribe provides AI-powered ambient medical documentation that generates clinical notes and supports downstream coding workflows. Adjacent to Calm Waters AI's documentation-improvement value proposition (ChartPal) and shares the same physician burnout / documentation burden pain point.
Broad incumbents
- Nuance Communications (Microsoft): Nuance's Dragon Medical and Precision Imaging Network embed AI-powered clinical documentation and coding assistance directly into EHR workflows. Acquired by Microsoft for $19.7B in 2022, it is the dominant incumbent in healthcare AI documentation and competes head-on with Calm Waters AI's autonomous coding value proposition at much greater scale.
- Optum (UnitedHealth Group): Optum's portfolio includes Ambient Artificial Intelligence documentation and computer-assisted coding tools used across thousands of hospitals and physician groups. Its scale, payer relationships, and R&D budget make it one of the most consequential competitive threats to Calm Waters AI's autonomous coding niche.
- 3M Health Information Systems: 3M's CodeAssist and 3M CodeComplete use NLP to suggest E/M, CPT, and ICD-10 codes within physician workflows. As a long-standing incumbent in medical coding software with deep health-system penetration, it represents the largest installed-base competitor to autonomous coding solutions like Calm Waters AI.
Direct peers
- CodaMetrix: CodaMetrix applies NLP/ML to autonomously assign medical codes (CPT, ICD-10, HCC) from clinical notes, integrating with Epic and other EHRs. Closely comparable product, customer base (US health systems), and AI architecture to Calm Waters AI's autonomous E/M coding engine.
- Aidéo Technologies: Aidéo Technologies (formerly Computer Programs and Systems, Inc./CPSI subsidiary) provides AI-enabled computer-assisted coding for hospitals and clinics. Comparable autonomous-coding product category and US hospital/health-system customer base to Calm Waters AI.
- AKASA: AKASA uses AI to automate revenue cycle operations for health systems, including coding assistance and claims workflows. Overlaps with Calm Waters AI's autonomous coding and revenue optimization value proposition for hospital and large provider customers.
- Fathom Health: Fathom Health builds AI for autonomous medical coding, focusing on reducing manual coder workload across multiple specialties and code sets. Overlapping AI-coding category, similar SaaS model, and similar customer base of US provider groups make it a direct peer to Calm Waters AI.
Market position
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Calm Waters AI social profiles
Digital presenceCalm Waters AI financial estimates
Financial estimateRevenue estimate
Valuation estimate
Calm Waters AI leadership team
Management profileNumber of profiles
Profiles13 records
Calm Waters AI funding detail
Funding detailFunding overview
Funding rounds1 record
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Calm Waters AI M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Calm Waters AI
What does Calm Waters AI do?
Calm Waters AI provides an AI-driven autonomous Evaluation & Management (E/M) coding platform that uses Natural Language Processing and proprietary algorithms to read and interpret structured and unstructured text in medical records and translate it into compliant E/M levels. The platform integrates directly into major EHR systems (Epic, athenahealth, Touchworks, ECW, Onco) and produces audit-defensible code recommendations with a documented 97% accuracy rate. A complementary ChartPal service delivers E/M documentation evaluation and physician training.
Is Calm Waters AI a public or private company?
Calm Waters AI is a private company. It is classified as corporate owned and is currently operating.
When was Calm Waters AI founded?
Calm Waters AI was founded in 2021. It employs 11 to 50 people.
Where is Calm Waters AI based?
Calm Waters AI is headquartered in Nashville, United States, in the North America region.
How does Calm Waters AI make money?
Two revenue lines are on record. SaaS Subscription for Autonomous E/M Coding is the primary driver. The others are chartPal Training and Consulting Services.
Who are Calm Waters AI's main competitors?
Emerging players on record are Olive AI, Suki AI and DeepScribe. Broad incumbents are Nuance Communications (Microsoft), Optum (UnitedHealth Group) and 3M Health Information Systems. Direct peers are CodaMetrix, Aidéo Technologies, AKASA and Fathom Health.
Does Calm Waters AI have an API?
No public API is recorded for Calm Waters AI.
What industry is Calm Waters AI in?
Calm Waters AI's product category is Healthcare Revenue Cycle Software. Its primary akta.pro industry code is HDAEAHAG, iBPMS (Intelligent BPM Suites) & Process Automation Suites. Its NAICS code is 54151 and its SIC code is 7372.