Revedy's AI platform combines real-time payer intelligence with automated CPT coding, ICD-10 review, and medical necessity analysis to optimize clean claim rates, reduce A/R days, and ensure compliant revenue capture across your entire organization.
Clinical Documentation Intelligence & CDI
- Fully automated CPT, coding and ICD10 review.
- Find CC/MCC documentation opportunities
- Fix Incomplete clinical indicators for procedure justification
- Resolve charge capture gaps leading to revenue leakage
Real-Time Medical Necessity Validation: Avoid Medical Necessity Denials
- Uncover LCD and NCD compliance gaps leading to denials
- Automate review of payer-specific coverage policy changes
- Full pre-claim medical necessity validation
Automated Coverage Policy Compliance
- Automate application of internal contract requirements and guidelines
- Manual payer policy tracking across 50+ sources
- Resolve isseus with delayed awareness of coverage updates
- Track and address inconsistent medical necessity determinations
Automated Appeals & Denial Management
- Fix low appeal overturn percentages and high denial rates
- Automate manual evidence gathering for appeals
- Stop missing appeal deadlines and revenue write-offs
Revedy is 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.