The intelligence layer for healthcare operations
Billing. Coding. Compliance. Facility management. Nurse reporting. Payer rules. One platform for the knowledge that powers every department, every claim, and every decision.
Built for every team in healthcare
One platform. Every department.
From the front desk to the C-suite, RCI gives every team the knowledge they need to work faster, stay compliant, and stop losing money to preventable errors.
Billing & Coding
Right code, right form, right modifier. AI-powered coding guidance with payer-specific billing rules for every facility type.
Payment Intelligence
Expected reimbursement for any procedure at any facility. Medicare fee schedules and GPCI adjustments — calculated, not guessed.
Denial Resolution
Interpret denial codes in plain English. Get appeal strategies, required documentation, and payer-specific filing deadlines.
Medical Necessity
Validate procedures against NCD and LCD criteria before you bill. Prevent coverage denials at the point of care.
Facility Management
Complete facility profiles — CCN resolution, payment systems, billing forms, place of service, and type of bill codes for every provider type.
Clinical & Nurse Reporting
Documentation requirements, clinical criteria, and reporting rules — so clinical teams know what's needed before the chart is closed.
Payer Rules & Compliance
Timely filing limits, appeal deadlines, prior auth rules, and policy changes — tracked per payer, updated as regulations change.
Forms & Documentation
CMS-1500 vs UB-04, type of bill codes, revenue codes, condition codes — the right paperwork for every encounter, every time.
Without RCI
- —Staff manually look up billing rules per payer
- —Nurses unsure which documentation satisfies criteria
- —Facility teams guessing the right form and TOB code
- —Denials discovered weeks after submission
- —Compliance gaps caught during audits, not before
- —Appeal deadlines missed or unknown
With RCI
- Billing rules resolved instantly per facility and payer
- Clinical teams know documentation requirements upfront
- Correct form, TOB, and revenue codes — every encounter
- Claims validated before submission — denials prevented
- Compliance checks built into the workflow
- Appeal strategies with deadlines and required documents
AI that understands healthcare
Three purpose-built AI agents trained on billing rules, coding guidelines, clinical criteria, and payer policies. Not generic chatbots — specialized tools for healthcare teams.
Code Research Agent
Describe a procedure in plain English — get the right CPT/HCPCS with modifiers, documentation requirements, and common pitfalls.
Medical Necessity Agent
Submit a procedure and diagnosis — get NCD/LCD validation, coverage criteria, and clinical documentation guidance.
Denial Resolution Agent
Paste a denial code — get root cause analysis, appeal strategy, required documents, and payer-specific deadlines.
You describe
"Patient had a total knee replacement, left knee, at our outpatient surgery center"
RCI identifies
CPT 27447 — Total knee arthroplasty. Modifier LT (left side). Requires prior auth from most commercial payers.
RCI advises
Bill on UB-04. POS 22 (outpatient hospital). Check NCCI edits for bundling. Nurse documentation must include laterality and weight-bearing status.
Who is RCI for?
Every team in healthcare loses time and money to missing knowledge. RCI puts the right information in front of the right people.
One source of truth across departments
Hospitals & Health Systems
Billing, clinical, compliance, and facility teams all pulling from the same knowledge layer. No more silos, no more conflicting rules.
Fewer denials, faster reimbursement
Billing & RCM Companies
Submit claims with the right code, form, and modifier the first time. Stop losing revenue to preventable errors.
Know what to document, before chart close
Clinical & Nursing Teams
Documentation requirements, clinical criteria, and medical necessity checks — surfaced at the point of care, not after the denial.
Stay compliant without the spreadsheet chaos
Facility & Compliance Teams
Facility type rules, TOB codes, POS codes, and payer-specific compliance requirements — tracked and updated automatically.
Smarter claims scrubbing at scale
Clearinghouses
Add knowledge-based validation to your pipeline. Catch coding errors, missing modifiers, and form mismatches before they reach payers.
Embed intelligence in your product
EHR & Platform Builders
Add billing rules, coding guidance, payment prediction, and compliance checks to your platform via API. Replace internal rule engines.
Free tools for healthcare billing
Start using RCI without signing up. Look up payment rates, resolve denial codes, search billing rules — all free.
Payment Calculator
Enter a procedure and facility — see exactly what Medicare will pay, broken down by component.
Denial Inspector
Paste a denial code — get a plain-English explanation and a step-by-step appeal strategy.
Billing Rules Network
Search payer rules, filing deadlines, modifier requirements, and revenue codes — all cross-referenced.
NPI Lookup
Search any provider by NPI or name — enriched with facility type, billing context, and payment system.
Code Crosswalk
Map between code systems instantly — CPT to ICD-10, HCPCS to CPT, and reverse lookups.
Rule Change Feed
Track payer rule changes and CMS fee schedule updates — before they affect your claims.
Built for healthcare
Healthcare billing data demands the highest standards. RCI is designed for security, reliability, and compliance from the ground up.
Security & Compliance
- HIPAA compliant infrastructure
- Multi-tenant data isolation
- API key authentication on every request
- Full audit logging
- SOC 2 Type II (in progress)
Reliability & Scale
- Cloud-native architecture
- Rate limiting and abuse protection
- Real-time monitoring and alerting
- CMS data updated as it changes
- Dedicated support for enterprise
HIPAA
Compliant
SOC 2
In progress
99.9%
Uptime target
<10 min
Support response
The knowledge your teams are missing.
Start with the free tools. Integrate via API when you're ready. Billing, coding, compliance, facility rules, clinical documentation — all in one place.