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

There is a different way to work. If you were to reimagine the way you run your business, what would you do differently? What if you could save up to 80% of your operational costs by reimagining the way business outcomes are delivered?

Through the power of automation emerging technologies, we challenge you to think differently about how you work and how you use your people to full effective.

We can help you across the automation journey from thinking through your strategy to implementing and executing robotic process automation, machine learning and other emerging technologies across the enterprise.  

Revenue Cycle Management:

Prior Authorization ​

Insurance Claims - Posting

Patient Payment - Posting

Coordination of Benefits: Primary, Secondary, & Tertiary

Revenue Integrity - Payment Audits (Under & Over)

Provider: Insurance Enrollment

Revenue Integrity - Charge Description Master (CDM) Management

Revenue Integrity - IME or IMR Audits (CMS & Medicare Advantage)

Insurance Claims - Denied & Rejected Follow-Up

About TQA Healthcare - Formerly Element Blue:

TQA Healthcare enables healthcare and life sciences organizations to transform the patient experience and reduce costs through increased personalization, intelligent automation, and AI. 

The practice’s solutions impact patient access, the revenue cycle, order processing, and clinical needs at the most critical stages of the patient journey, resulting in a seamless encounter.

By empowering individuals to actively manage their unique experiences, TQA Healthcare increases the satisfaction of every healthcare consumer: patients, staff, and clinicians.

Houston-based, TQA Healthcare is formerly Element Blue. 

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

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:
  • Prior Authorization
  • Claims Status
  • Coding
  • Scheduling
  • HIM
  • Remittance Posting
  • Provider Credentialling
  • Accounts Payable
  • Human Resources
  • Clinical Services
  • Patient Access
  • Revenue Cysle Management 
  • Supply Chain
  • Finance
  • HR
  • Referrals
  • Faxes
  • PDFs
  • Emails
  • Scans
  • Invoices
  • Patient Charts
  • Patient Records
  • Lab Orders
  • Mail
  • Paper Documents
  • Resumes
Pediatric use cases:

Same as for any health system, but additional applications related to newborn insurance and patient proxy for infants and children.

Users:

Revenue Cycle Leaders

Finance Leaders

IT Leaders

HR Leaders

HIM Leaders

Operations Leaders

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, Ancillary EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other

EMR Integration & Relevant Hardware:

Not applicable

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

Not applicable

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:

While EHRs offers integration tools, achieving seamless data exchange, particularly with non-EHR systems, can be challenging due to their limited interoperability.

This can create communication hurdles between providers using different EHRs, healthcare facilities not on a particular EHR, and providers who need to integrate with other advanced technology platforms outside of the EHR ecosystem.

Element Blue's solutions can integrate with any platform and are independent of particular products or technologies. This affords our teams unlimited creativity when ideating custom solutions for each healthcare organization.

Differentiators vs Competitors:

Element Blue's practice is dedicated exclusively to healthcare and life sciences. This is unique among our UiPath competitors, who serve multiple industry verticals.

A UiPath Platinum partner, Element Blue is recognized as a leading systems integrator with more than 20 years' experience in working with some of the world's best known providers, payers, diagnostics, and life sciences organizations.

Keywords

Images

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Videos

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Element Blue Branded RPA with Navinet Aetna.mp4

Downloads

No content provided

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66329_EB RPA Case Study REVISED.pdf

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Company Details

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