UB-04 Software Revenue Cycle Management for Faster Claims
A comprehensive platform that automates UB-04 claims, reduces denials, and optimizes revenue cycle performance.
Trusted by the best in the industry
Streamline Compliance and Strengthen Claim Integrity
Ensure Compliance
- Ensure adherence to UB-04 claim standards and coding regulations.
- Automate compliance checks to prevent costly errors and minimize audit risk.
- Stay informed about real-time regulatory and payer policy updates.
Improve Claims Accuracy
- Utilize AI to reduce claim denials caused by coding errors or incomplete documentation.
- Ensure accurate risk adjustment coding to optimize reimbursements.
- Identify and correct discrepancies before submitting UB-04 claims.
Optimize Claims Auditing
- Automatically flag potential audit risks with AI-driven insights.
- Enhance auditing accuracy through automated documentation checks.
- Maintain full audit trails and compliance with payer and regulatory requirements.
Intelligent Revenue Cycle Suite
Automated Coding and Compliance Checks
RapidClaims automates ICD-10, CPT, HCPCS, and HCC coding with complete compliance visibility. It continuously updates payer rules to reduce denials and ensure audit readiness.
- Continuous compliance monitoring with evolving CMS and payer regulations
- AI-powered detection of inconsistencies in medical necessity and documentation
- End-to-end audit trails for transparent, error-free claim submission
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AI-Driven Denial Prevention and Recovery
Powered by RapidScrub™ and RapidRecovery™, the platform predicts denials before submission and automates appeal management for rejected claims.
- Smart-Edit Engine applies 100M+ machine-learned payer edits in under 200 ms.
- Denial Prediction Score prioritizes high-risk claims for pre-submission review
- Success-Based Model ensures payment only on recovered dollars for true ROI
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Real-Time Clinical Documentation Intelligence
RapidCDI™ enhances documentation accuracy and risk adjustment at the point of care, ensuring every UB-04 claim reflects complete, compliant, and optimized patient data.
- Point-of-Care AI Prompts surface missing HCCs, RAF gaps, and quality metrics
- Consolidates labs, encounters, and notes into a patient snapshot
- Converts V24 codes to V28 HCC categories automatically
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What Sets Us Apart
Accelerated Claim Processing
- Go live in as little as 30 days with a few-shot deployment using historical charts.
- Process 1,000+ charts/min with 96%+ coding accuracy using RapidCode.
- Reduce denial rates by up to 70% with AI-powered claim scrubbing via RapidScrub.
Maximized Revenue Capture
- Capture HCC and RAF accurately at the point of care with RapidCDI.
- Identify underpaid or high-risk claims early for faster recovery.
- Success-based denial recovery via RapidRecovery ensures payment only on recovered dollars.
Continuous Compliance & Learning
- Real-time regulatory updates, including V28 HCC and payer-specific edits.
- Weekly retraining on payer feedback improves coding and claim accuracy over time.
- Transparent, AHIMA/CMS-compliant audit logs for UB-04 claims.
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 Streamline Claims and Maximize Hidden Revenue?
RapidClaims AI modules RapidCode, RapidCDI, RapidScrub, and RapidRecovery enhance claim accuracy, cut denials by 40%, lift coder productivity 170%, and improve HCC capture by 24%.
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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.
