RCM Advisory Services That Improve Coding Accuracy & RAF
Comprehensive RCM Advisory Services that optimize revenue cycle performance, reduce denials, and accelerate reimbursements across coding, clinical documentation, and claims management.
Trusted by the best in the industry
AI-Driven RCM Advisory to Maximize Financial Outcomes
Strengthen Coding & Documentation Practices
Ensure ICD-10, CPT, HCPCS, and HCC compliance across 36+ specialties.
- Provide point-of-care guidance for physicians to improve documentation and RAF accuracy.
- Align workflows with V28 HCC rules and continuously updated payer policies.
Prevent Denials & Recover Missed Revenue
- Detect coding inconsistencies and incomplete documentation before claim submission.
- Flag high-risk claims and underpayments using predictive scoring and AI insights.
- Recommend best practices for automated appeals and payer-specific recovery strategies.
Optimize Revenue Cycle Efficiency
- Track claim submission times and identify delays using AI-driven workflow analysis to optimize efficiency.
- Implement standardized coding and documentation processes across specialties.
- Prioritize claims with high denial risk or revenue potential using predictive scoring.
RCM Optimization Suite: Advisory Services in Action
Intelligent Denial Prevention & Recovery
Preventing denials and recovering missed revenue requires real-time claim analysis and structured interventions. Our AI-driven tools flag high-risk claims and automate the resolution of these claims.
- RapidScrub uses 119M smart edits to prevent denials and identify payer short-pays.
- RapidRecovery automates appeals, tracks claims, and closes revenue gaps efficiently.
- AI-powered risk scoring prioritizes high-risk claims for human review.
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Continuous Monitoring & Insights
Sustained RCM performance relies on ongoing monitoring and actionable insights. Providers gain full visibility into claim quality, denial trends, and financial performance.
- Real-time dashboards track clean-claim rates, denial trends, and financial KPIs.
- A continuous feedback loop improves scrub rules and enhances future claim performance.
- Role-based analytics ensure compliance and visibility for CFOs and RCM leaders.
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Comprehensive Coding & Clinical Documentation Support
Effective coding and documentation are critical to clean claims and accurate RAF capture. RapidClaims advisory ensures providers maintain compliance while maximizing revenue potential.
- RapidCode and RapidCDI modules enable 96%+ coding accuracy and a 25% reduction in RAF.
- Inline HCC prompts and MDM-aware scoring improve physician query acceptance.
- Deployment in under 3 weeks with as few as 500 historical charts.
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What Sets Us Apart
Proven Results
- Realize up to 5× ROI within 30 days of deployment in pilot implementations.
- Cut 1–2 clinical hours per day previously spent on documentation and manual coding corrections.
- Reduce denial rates by up to 40% using RapidScrub™s AI-driven smart edits.
Security That Matters
- Role-based access controls restrict sensitive information to authorized personnel only.
- AWS US-only hosting with AES-256 & TLS 1.2 encryption.
- Role-based access and 90-day log retention to protect sensitive data.
Real Partnership
- Rapid deployment within 30 days with minimal workflow disruption.
- Ongoing training and advisory support tailored to provider operations.
- Continuous platform enhancements based on real-world provider results.
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
Want to increase coder productivity by 170%?
Our AI-powered RCM advisory services reduce denials, enhance RAF capture, and expedite clean-claim processing.
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Frequently Asked Questions
Transform Your Revenue Cycle in 30 Days or Less
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