The Comprehensive IONM Revenue Solution
For every advanced neurodiagnostic procedure your technology enables, Revedy provides the critical financial infrastructure to ensure your customers achieve maximum, compliant reimbursement. We transform their reimbursement uncertainty into your strategic advantage.
Pillar 0: The Unimpeachable Source of Truth
Our process begins by creating a complete and validated record of the procedure, eliminating the discrepancies that lead to denials.
Integrated Data Validation
- Narrative + Device Data: We ingest the full case file—operative notes, technical reports, AND the raw, structured data output directly from the monitoring system.
- AI-Powered Cross-Validation: Our engine cross-references the physician's narrative against the electronic device data, ensuring every monitored modality is electronically verified.
- Audit-Proof Record: This creates a single, validated, and audit-proof record of the procedure, forming the foundation for all subsequent steps.
The Four Pillars of IONM Revenue Success
1. Automated Coding & Claim Generation
Our AI analyzes the validated case file to automatically assign the correct CPT codes for every modality (EEG, SSEP, MEP, EMG). It accurately calculates time-based units, counts nerve/screw tests, and generates separate, compliant professional (26) and technical (TC) claims, maximizing revenue capture while eliminating human error.
2. Payer-Specific Code Optimization
Our engine goes beyond standard coding by applying a layer of payer-specific rules. It automatically adjusts codes to meet the unique requirements of major payers like Medicare, UHC, and others—for example, substituting 95941 with G0453 or removing codes that are not reimbursed by a specific plan. This ensures the submitted claim is optimized for payment.
3. Proactive Medical Necessity Validation
Before submission, we automatically cross-reference the procedure and diagnosis codes against our vast library of Medicare (LCD/NCD) and commercial payer policies. This pre-submission check ensures the claim meets the payer's specific medical necessity criteria, drastically reducing a primary cause of IONM denials.
4. Intelligent Denial & Appeal Automation
When a denial occurs, our system closes the loop. The AI analyzes the denial reason, retrieves the validated clinical evidence and device data from the case file, finds the relevant rule in the payer's own policy, and drafts a precise, evidence-based appeal that is overwhelmingly difficult for payers to dispute.
The Result: A Strategic Partnership for Commercial Acceleration
By solving the reimbursement challenge, Revedy de-risks the purchase of Natus technology for hospitals.
This shortens sales cycles, boosts market adoption of your most advanced platforms, and directly accelerates your revenue growth.