Reduce Denials and Ensure Compliance with Automated NCCI Edits

Stay audit-ready and reduce submission errors with AI-driven NCCI validation that applies CMS coding rules accurately before claims are submitted..

Trusted by the best in the industry

Eliminate Denials at the Source

  • Automatically apply Procedure-to-Procedure (PTP) and Medically Unlikely Edits (MUEs) before claims are submitted
  • Catch common modifier misuse and resolve code pair conflicts early
  • Apply CMS edit logic during claim preparation to support cleaner submissions

Accelerate Revenue Through Better Compliance

  • Address edit-related issues before claims are submitted
  • Reduce rework by validating code combinations up front
  • Submit more compliant claims without increasing manual workload

Stay Current with CMS NCCI Guidelines

  • Built-in support for CPT and HCPCS edit pairings as outlined by CMS
  • Automatic updates aligned with each new release of the CMS NCCI Policy Manual
  • Edit logic applied across all relevant specialties and coding scenarios

End-to-End AI-Powered NCCI Compliance Suite

Streamlined Compliance from Code to Claim

RapidClaims combines AI precision with regulatory intelligence to ensure your claims are accurate, defensible, and ready for submission without added overhead.

  • Built-in audit trails and rationale for every compliance decision
  • Intelligent suggestions for compliant alternatives in edge-case scenarios
  • Interoperable with EHR and PM systems using HL7 and FHIR standards

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What Sets Us Apart

Compliance Focused

  • Applies CMS NCCI rules in real time for accurate code pairings and modifiers
  • Ensures 100% audit compliance with automatic policy updates
  • Maintains a 98%+ clean claim rate from day one

AI-Driven Accuracy

  • Delivers 96% coding accuracy with built-in PTP and MUE validation
  • Increases productivity by 1.7x, saving coders up to 2 hours daily
  • Provides full audit trails and edit-level explanations

Results-Backed Partnership

  • Enables faster impact with results in just 30 days
  • Cuts NCCI-related denials by up to 70%
  • Speeds up A/R recovery by 5 days with cleaner submissions

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

Make NCCI compliance simpler, smarter, and faster with RapidClaims

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Transform Your Revenue Cycle in 30 Days or Less

Join leading healthcare organizations already seeing results with RapidClaims.