Healthcare Compliance and Claims Audit Management Software

The end-to-end platform that ensures compliance, reduces claim denials, and optimizes your claims auditing process.

Trusted by the best in the industry

Maximize Compliance

  • Ensure adherence to the latest ICD-10, CPT, HCPCS, and HCC coding standards
  • Automate compliance checks to avoid costly penalties and audits
  • Reduce compliance risks with real-time regulatory updates

Improve Claims Accuracy

  • Leverage AI to reduce claim denials caused by coding errors and documentation gaps
  • Ensure accurate risk adjustment coding to optimize reimbursements
  • Identify and correct coding discrepancies before claims are submitted

Optimize Claims Auditing

  • Automatically flag potential audit risks with AI-driven insights
  • Enhance auditing accuracy through automated documentation checks
  • Ensure full audit trails and maintain compliance with regulatory requirements

Intelligent Compliance & Claims Audit Suite

Automated Coding and Compliance Checks

Automate coding processes and maintain compliance with ever-evolving regulatory standards. RapidClaims provides real-time audits and updates to ensure accuracy and reduce denials.

  • Continuous compliance monitoring with up-to-date regulatory rules
  • AI-powered detection of coding inconsistencies and documentation gaps
  • Automated compliance monitoring with built-in rules

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What Sets Us Apart

Proven Results

  • Accelerate claims resolution with automated workflows
  • Minimize claim denials through proactive compliance checks
  • Gain actionable insights with comprehensive reporting and analytics

Security That Matters

  • End-to-end encryption for all sensitive healthcare data
  • Designed to meet HIPAA, SOC 2, and industry best practices
  • Role-based access controls to safeguard patient information

Real Partnership

  • Seamless onboarding with dedicated implementation specialists
  • Ongoing training and best-practice guidance for your team
  • Responsive, knowledgeable support, whenever you need it
  • Continuous platform enhancements based on user feedback

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

Seamless Integration with Your Existing Healthcare Systems

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Transform Your Revenue Cycle in 30 Days or Less

Join leading healthcare organizations already seeing results with RapidClaims.