Automate CPT Code Validation for Medical Records
Use AI-driven technology to map clinical documentation to the correct CPT codes, ensuring billing accuracy, CMS compliance, and faster reimbursements, all with reduced denials.
Trusted by the best in the industry
Accurate Medical Coding from the Start
- Uses AI to analyze provider notes, diagnoses, and procedure details to determine the appropriate CPT code
- Identifies codeable services in real-time during encounter documentation
- Prevents mismatches by ensuring CPT codes reflect clinical intent, medical necessity, and scope of service
Streamlined Hospital and Insurance Billing Codes
- Automatically maps procedures to facility-specific and payer-specific billing codes
- Applies charge-level validation before submission to prevent denials due to incorrect or missing codes
- Supports integration with hospital billing systems to accelerate revenue capture and reduce resubmissions
Built-In Compliance With CPT Guidelines
- Embeds current CPT, CMS, and payer-specific coding rules into each workflow
- Flags overcoding, undercoding, and invalid combinations as clinicians document
- Aligns every charge with the latest AMA CPT updates, ensuring audit readiness
End-to-End CPT Validation Platform
Real-Time AI Code Suggestions
AI reads provider notes and encounters to recommend the correct CPT and HCPCS codes before finalizing documentation.
- Delivers 96%+ accuracy in CPT code validation
- Detects procedures, modifiers, time-based, and bundled codes
- Works across all specialties (inpatient, outpatient, facility-based)
REQUEST A DEMO
Charge-Level & Payer Code Mapping
Automatically match facility-specific and insurance billing codes to your procedures.
- Validates charge accuracy against payer policies
- Reduces denials from incorrect or missing codes
- Integrates smoothly with hospital billing systems
REQUEST A DEMO
Audit-Ready Compliance
All code actions track logic, update history, and rule application for transparent recordkeeping.
- Enforces current CPT, CMS, and AMA updates
- Flags undercoding/overcoding and invalid code pairs proactively
- Supports audit readiness with full version control
REQUEST A DEMO
What Sets Us Apart
Proven Accuracy and Audit Protection
- Achieve up to 96% CPT coding accuracy across inpatient and outpatient workflows
- Reduce audit exposure by 70% through built-in compliance logic and version tracking
- Automatically flag and correct undercoding, overcoding, and modifier misuse
2x Productivity Without Additional Headcount
- Double coding throughput using AI-assisted CPT suggestions and real-time validation
- Save coders up to 2 hours per day by eliminating manual code lookups
- Focus human reviewers on exceptions, not repetitive charge entry
Seamless Integration and Security at Scale
- Connect effortlessly with EHRs and billing platforms like Epic, Cerner, Athenahealth, and eClinicalWorks
- Support HL7 and FHIR protocols for secure, structured data exchange
- Ensure HIPAA-compliant access with role-based controls, audit logs, and data encryption
Results You Can Trust
RapidClaims delivered what other vendors only promised. We've seen a 30% reduction in AR days within one quarter, unlocking $2.5M in accelerated cash flow. Their platform adapts to our specific workflows instead of forcing us to change our processes.
CFO, Major Health System
$2.5M
Accelerated cash flow
30%
Reduction in AR days
"With RapidClaims, we're maximizing our limited resources while improving revenue capture by 5%. Our team now spends more time on patient care and less on administrative tasks."
Director HIM, Federally Qualified Health Center
5%
↑ increased revenue
40%
Reduction in coding and billing costs
RapidRisk transformed our value-based care documentation, improving RAF by 15% and reducing documentation gaps by 22%. This directly impacts our shared savings and quality metrics.
Medical Director, Leading Accountable Care Organization
15%
↑ RAF
45%
New conditions identified
Our clean claim rate jumped from 92% to 99% with a 96% first pass yield rate. With RapidClaims, we improved the productivity of our coding staff by 100%. Our team only focuses on complex cases that require human expertise.
VP Revenue Cycle, Multi-Specialty Physician Group
27%
Reduction in claim denials
70%
Reduction in cost to collect
Accelerate Claims, Slash Errors, and Boost Reimbursement — All With AI-Powered CPT Coding.
Request a Demo
%201.png){kind=icon}
Transform Your Revenue Cycle in 30 Days or Less
Join leading healthcare organizations already seeing results with RapidClaims.
