White-Label AI for Medical Coding, Necessity & Payer Response
An AI-powered solution that serves as the technology backbone for BPOs, enabling them to expand faster, improve accuracy, and increase operational efficiency.
The BPO's Dilemma: The Challenge to Growth
The Technology Gap
BPOs are caught in a competitive trap, lacking the capital to acquire the AI and automation needed to compete with larger firms, forcing them to compete on price instead of value.
The Talent Deficit
Scaling a team of expert, certified coders is a primary constraint on growth. The high cost and scarcity of talent make it difficult to expand service capacity.
The Cycle of Inefficiency
Manual workflows lead to coding errors and denials, which erode thin profit margins and prevent the investment in technology required to break the cycle.
An Embedded Solution for BPO Growth
Revedy's white-label solution directly addresses these core challenges by embedding an expert AI engine into your existing services.
Enable Rapid Expansion
Scale your client base without the need for a linear increase in expert coding staff. Our solution provides the 'AI-ready' infrastructure to take on more volume and larger clients.
- Embedded Expertise: Instantly gain a deep knowledge base of all payer rules, medical necessity guidelines, and coding regulations to handle complex cases.
- Enterprise-Scale Processing: Our bulk processing capabilities allow you to seamlessly onboard high-volume clients without disrupting your workflows.
- Compete on Value: Differentiate your BPO by offering technologically advanced services, allowing you to move upmarket and command higher fees.
Drive Unmatched Accuracy
Attack inefficiency at its source by reducing the coding and documentation errors that lead to costly denials and rework.
- AI-Powered Code Validation: Automate the validation of CPT and ICD-10 codes against clinical documentation, including complex Excludes1/2 and NCCI edits.
- Pre-Submission Scrubbing: Ensure claims are clean before they leave the system by validating them against a constantly updated database of payer-specific rules.
- Optimal Coding Analysis: Move beyond simple correctness to identify the best-supported codes for medical necessity, maximizing the first-pass payment rate.
Increase Operational Efficiency
Automate the most time-consuming, manual aspects of the revenue cycle, freeing up your skilled staff to focus on high-value tasks like complex appeals and client management.
- Automated Payer Response Analysis: Ingest payer denial documents and use AI to deliver a concise summary of the denial reason and suggest an appeal strategy.
- Automated Appeal Generation: Drastically reduce the time-to-appeal by automatically generating comprehensive letters with supporting evidence and policy citations.
- Actionable Analytics: Use real-time dashboards to identify denial trends and the root causes of revenue leakage, turning data into strategic insight.