The Wake-Up Call
The algorithm is on the record.
For years you could appeal the decision but never see the system behind it. A federal court, a Senate subcommittee and HHS-OIG have now put that system into the public record.
- For RCM and finance leaders handling post-acute denials: the five public documents, with dates and docket numbers, that turn a suspected pattern into a citation.
- Includes a card that keeps the plaintiffs' 90%+ allegation apart from OIG's 97% finding, and five moves starting with a paste-ready citation block.
What you'll get
Five documents. Two numbers. Five moves.
Everything a post-acute appeal team needs to cite the record accurately.
The dated record.
Complaint, Senate report, two rulings and the OIG audit, each with a date and an author.
Figure discipline.
Why 90%+ is an allegation and 97% is a finding, and what blending them costs you.
The scale.
Denial rates of 14%, 11% and 9% by who processed the request, plus the Senate's 10.9% to 22.7% trajectory.
Five moves.
Citation block, overturn ledger, unappealed-denial pull, rationale front sheet, quarterly pattern file.
The posture.
How to bring your own dated, payer-level record into the next payer conversation.
Sources.
Docket numbers, report titles and release dates for every entry.
Why RapidClaims
Your denials, as a dated record of your own.
RapidClaims tracks denial and overturn rates by payer as claims move, so the ledger your appeal letters cite already exists when you need it.
>95%
Coding accuracy
Across 25+ specialties, including the complex ones competitors avoid.
40%
Fewer denials
Documentation gaps caught at the point of code, before submission.
25+
Specialties supported
Depth in the hardest specialties, not just the easy volume.
>90%
Charts auto-coded
Autonomous at an enterprise-grade accuracy threshold.
1.7×
Coder productivity
More charts per coder — without adding a single FTE.
<6 wks
To go-live
From signed agreement to live coding in your environment.