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Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Health equity
Keywords
Media
Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Health equity
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:

RapidCode fully automates Procedure, Diagnosis, Evaluation & Management (E&M), and Risk Adjustment Coding across specialties, enabling providers to reduce coding-related costs, boost accuracy, ensure compliance, and decrease time to bill.

About RapidClaims:

None provided

Product Description:

HealthNautica’s eORders™, software is a comprehensive, easy-to-use, cloud solution for managing the entire perioperative process and surgical scheduling without changing your scheduling system. It begins with the physician’s office filling out an online surgery scheduling or procedure request.

Gone are the days of illegible, incomplete, inaccurate faxes sent back and forth between the physician’s office and the facility’s scheduling department. The cumbersome and error prone faxing process is replaced by an electronic form that is configured to each facility’s exact specifications and reacts to the user’s input thereby assisting the physician’s office in getting it right the first time.

All orders are legible, complete, screened for CMS Medical Necessity, incorporate SCIP, VTE, SSI and ACS NSQIP measures, verified for insurance eligibility, pre-certified and satisfy edits by CMS, commercial payers and the facility. Our solution ensures efficient surgery center scheduling and block time management while streamlining processes such as prior authorization.

About HealthNautica:

Healthcare Software Developer

Compatibility level

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Clients

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Product Capabilities

RapidClaims harnesses AI-driven automation to accurately map clinical documentation to billing codes, adapting seamlessly to each client’s unique documentation styles and coding standards. Our proprietary AI models, built and maintained in-house, incorporate machine learning, deep learning, and natural language processing (NLP) to deliver high-accuracy coding without reliance on third-party AI vendors. This ensures full control, continuous innovation, and superior customization for optimized medical coding and claims processing.

RapidClaims operates with HIPAA compliance at its core, implementing both technical and procedural safeguards to ensure the highest standards of data security and regulatory adherence. Our platform maintains ISO 27001 and SOC 2 Type 2 compliance while enforcing encryption in motion and at rest, full audit trails, Information Security Management Systems (ISMS), third-party penetration testing, static and dynamic code vulnerability scanning, role-based security, and a least privileged access model. These controls ensure secure, compliant, and resilient AI-driven medical coding and claims automation.

RapidClaims is dedicated to reducing claim denials through AI-driven autonomous coding, achieving a 30% reduction in denials compared to manual processes. Our solution minimizes reliance on human coders, optimizes coding accuracy and compliance, and continuously improves by analyzing denial patterns shared by customers. By enhancing coding efficiency and accuracy, RapidClaims helps lower costs, improve revenue by 2%, and ensure regulatory compliance, with cost reduction being the primary driver of ROI.

Use Cases

Description:

TBD

Pediatric use cases:

None provided

Users:

The primary users of the RapidClaims platform are medical coders, with the goal of automating coding processes to reduce administrative burdens on healthcare providers. Our AI-driven solution streamlines workflows, allowing physicians to focus on patient care rather than manual coding tasks.

Description:
  • Surgery/Procedure/Diagnostic Request Screening and Submission
  • Patient Engagement
  • Coordination of Care
  • Revenue Cycle Management

Used by:

  • Hospitals
  • Healthcare Systems
  • Ambulatory Surgery Centers

Pediatric use cases:

Pediatric Facilities

Users:
  • Physicians/Providers
  • Hospitals
  • ASCs

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Pop health platform, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Athenahealth, Meditech, eClinicalWorks, athena, Cerner, GE, Other

Hardware Compatibility:

Mobile / Tablet (web optimized), Desktop

Integrations:

Acute care EMR, Ambulatory EMR, ADT

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Allscripts, NextGen, Allscripts/Eclipsys, Meditech, athena, Athenahealth, eClinicalWorks

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized)

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

RapidClaims stands out with its highly customizable, pre-trained AI model that delivers exceptional accuracy with minimal data requirements using few-shot learning. Unlike traditional solutions, we don’t require extensive training data, enabling faster deployment and seamless integration. Our model also boasts high specialty coverage, adaptive learning, and superior automation, ensuring greater efficiency, reduced claim denials, and optimized revenue cycle management.

Differentiators vs EHR Functionality:

Provides agnostic interoperability that integrates a solution outside the competancy of the EHR and facilitates a companion to the EHR

Differentiators vs Competitors:

Pricing and customer support are key

Health Equity

Keywords

Images

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Growing Surgical Volume - OR Manager.png

Videos

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Downloads

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eORders Features.pdf

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Company Details

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