Medical Billing Audit Services for Faster Claim Approvals
A complete AI-powered solution to enhance billing accuracy, minimize claim denials, and increase revenue recovery.
Trusted by the best in the industry
Prevent Revenue Loss with AI-Powered Coding Accuracy
Ensure Coding Compliance
- Ensure all claims comply with ICD-10, CPT, HCPCS, and HCC coding standards.
- Identify coding inconsistencies and documentation gaps before submission.
- Reduce the risk of denials and regulatory penalties with automated compliance checks.
Enhance Claim Precision
- Automate coding for faster, error-free claim submissions using RapidCode.
- Capture missed HCCs and RAF opportunities at the point of care with RapidCDI.
- Proactively detect potential underpayments and payer misinterpretations.
Streamline Audit Workflows
- Flag high-risk claims using RapidScrub predictive analytics.
- Improve efficiency with AI-assisted documentation review and multi-layer validation.
- Maintain comprehensive audit trails for internal and external compliance requirements.
Intelligent Billing and Compliance Suite
AI-Driven Coding and Auditing
RapidClaims automates medical coding and auditing processes, combining AI with real-time payer updates to prevent errors and accelerate reimbursements.
- Continuous monitoring of compliance and payer rules across specialties.
- Automated detection of discrepancies and claim risks before submission.
- Learning from payer feedback to continuously improve accuracy.
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Denial Prevention & Recovery
RapidClaims proactively reduces claim denials and accelerates revenue recovery using AI-driven edits and automated appeal workflows.
- Applies predictive denial scoring to identify high-risk claims before submission.
- Automates drafting, submission, and tracking of payer-specific appeals.
- Detects payer underpayments and coverage gaps in real time.
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Compliance Monitoring & Analytics
RapidClaims ensures end-to-end regulatory compliance while providing actionable insights for revenue optimization and growth.
- Provides real-time alerts on CMS and payer policy updates.
- Maintains full AHIMA/CMS-compliant audit logs for internal and external review.
- Offers CFO-ready dashboards with claim trends and root-cause analytics.
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What Sets Us Apart
Proven Impact
- Achieve a 98% clean-claim rate with 30-day measurable results.
- Reduce claim denials by up to 40% and improve HCC capture by 24%.
- Gain actionable insights through real-time analytics dashboards.
Enterprise-Grade Security
- HIPAA, SOC 2, and ISO 27001 compliant infrastructure.
- AES-256 encryption and role-based access controls for sensitive data.
- End-to-end audit logging ensures regulatory compliance.
Collaborative Partnership
- Dedicated onboarding and AI-assisted staff training.
- Seamless integration with Epic, Cerner, Athena, eClinicalWorks, and other EHRs.
- Continuous platform updates and optional managed services for full revenue cycle optimization.
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
Ready to Maximize Revenue and Reduce Denials by 70%?
Experience AI-driven medical coding and billing audit services with RapidClaims. Upload 500 sample charts for a customized ROI report in 2 days or start your 30-day Rapid pilot.
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Frequently Asked Questions
Transform Your Revenue Cycle in 30 Days or Less
Join leading healthcare organizations already seeing results with RapidClaims.
