Revenue Integrity Through Intelligent Automation
Healthcare Revenue Intelligence PlatformRevedy's AI platform combines real-time payer intelligence with automated medical necessity analysis to optimize clean claim rates, reduce A/R days, and ensure compliant revenue capture across your entire organization.
Optimize Case Mix Index and Charge Capture
Clinical Documentation Intelligence & CDI
- Missing CC/MCC documentation opportunities
- Incomplete clinical indicators for procedure justification
- Charge capture gaps leading to revenue leakage
Prevent Medical Necessity Denials
Real-Time Medical Necessity Validation
- LCD and NCD compliance gaps leading to denials
- Payer-specific coverage policy changes
- Pre-claim medical necessity validation
Automate Coverage Policy Compliance
Intelligent Payer Contract Management
- Manual payer policy tracking across 50+ sources
- Delayed awareness of coverage updates
- Inconsistent medical necessity determinations
Increase First-Pass Appeal Success Rates
Automated Appeals & Denial Management
- Low appeal overturn percentages and high denial rates
- Manual evidence gathering for appeals
- Missed appeal deadlines and revenue write-offs
Built on Healthcare's Most Comprehensive Knowledge Graph
Complete Payer Intelligence Platform built on 50+ authoritative healthcare data sources including CMS Medicare Coverage Database, NCCI edits, and commercial payer policies. Our Healthcare Knowledge Graph connects procedures, diagnoses, and coverage policies to deliver real-time medical necessity determinations.
Real-Time Updates
Always current LCD/NCD policies
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Medical Necessity
Pre-validation prevents denials
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Automated Processing
Claims-aware AI framework
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Revenue Integrity
Measurable financial impact
Improve Clean Claim Rates
Reduce DNFB and accelerate cash flow with AI-powered charge capture validation and real-time medical necessity checks
Revenue Cycle Compliance
Maintain audit-ready processes with automated LCD/NCD compliance and comprehensive documentation trails
Measurable Financial Impact
Increase net collection rates and optimize case mix index through intelligent revenue integrity automation
Discover Your Revenue Integrity Opportunities
See how our Healthcare Knowledge Graph can improve your organization's clean claim rates, reduce medical necessity denials, and optimize payer contract compliance.
Schedule Revenue Assessment