Engine Deep Dive

Beyond Automation: The Revedy Coding Engine

From complex clinical notes to precise, compliant, and defensible codes in seconds.

Manual Coding Challenges

Coder Variability

Inconsistent coding based on individual interpretation and experience.

Missed Revenue

Uncaptured procedures and incorrect units lead to lost revenue.

Compliance Risk

Struggling to keep up with complex NCCI edits and payer-specific rules.

Slow Turnaround

Manual review and coding creates bottlenecks and delays billing.

IS TRANSFORMED BY

The Revedy Coding Advantage

Unmatched Precision

Our AI understands clinical context to assign the most accurate codes.

Complete Capture

Ensures all billable procedures are identified and correctly coded.

Built-in Compliance

Automatically validates codes against a massive library of rules.

Instantaneous Speed

Analyzes and codes entire cases in seconds, not hours.

How It Works: From Raw Document to Rich Insights

Part A: We Synthesize the Complete Clinical Story

1. Your Clinical Documentation

The engine ingests all case files, including operative notes, reports, and transcripts.

Source: Case Context

2. Official Code Libraries

We cross-reference against official CMS (HCPCS, RVU) databases.

Source: Foundational Rules

3. Payer & Client Rules

We apply our vast library of payer policies and your own organization's specific guidelines.

Source: Custom Logic

Part B: The Revedy AI Engine Reasons Like an Expert

1. Deconstruct & Classify: The AI first reads all documents to determine the case type (e.g., IONM, E/M, Gastroenterology) to select the right analytical model.

2. Targeted Analysis: It performs a specialized analysis based on the case type, using either methodical rule-based checks for complex procedures or an autonomous agent for general cases.

3. AI-POWERED AUDIT (THE KEY STEP):

The engine acts as its own expert auditor, generating a **Confidence Score** and flagging any codes that require human review. It automatically checks for NCCI conflicts and MUE limits.

Part C: The Output is More Than Just a Code

Precise Procedure & HCPCS Codes: Includes all appropriate units and modifiers.
Actionable Coder Notes: Provides a clear, line-by-line justification for every single code.
Confidence Score & Review Guidance: Delivers an AI-generated confidence level and specific instructions for human reviewers.
Complete Audit Trail: Offers a full, transparent record of the AI's reasoning process and the data it used.

The Result: A Smarter, Faster, More Profitable Coding Process

Maximize Accuracy

Reduce errors and coder variability with AI-driven precision.

Ensure Compliance

Stay ahead of complex rules with automated validation.

Increase Efficiency

Free up your expert coders to focus on high-value tasks.

Unlock Insights

Leverage rich data, including RVUs, for financial analysis.