Rules Technology Performs the Heavy Lifting, So Your HCC Coding and Revenue Cycle Management Teams Can Perform at Their Best

The RCxRules software works on the front end of your process, automatically reviewing 100% of charges against HCC coding and revenue cycle rules tailored to your specific needs. We help deliver the most accurate and complete financial and HCC data for optimum process efficiency and financial results—every time, guaranteed.

Conquer HCC Coding to Complement Your Value-Based Care

Enable physicians and coders to do what they do best—and get paid accurately for the great care you provide.

RCxRules automatically reviews 100% of HCC diagnosis codes coming out of your EMR in real time, and flags any encounter with diagnosis gaps, so your coders can review and correct codes before they’re submitted as a claim. RCxRules helps ensure you are compensated appropriately for the care your physicians provide. Thrive in a world of value-based programs, including:

  • Medicare Advantage Plans
  • Accountable Care Organizations (ACOs)
  • Comprehensive Primary Care Plus
  • Managed Medicaid
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Robust Rules Engine Puts You in Complete Control of Your Revenue Cycle

Easily create rules as unique as your practice. Address your specific providers, payers, specialities, and systems.

With granular, tailored rules, the RCxRules Revenue Cycle Rules engine standardizes operations to ensure everyone is following the best process. The automated engine simplifies and streamlines your revenue cycle to drive efficiency.

  • Automated Charge Review
  • Control Through Customization
  • Unprecedented Service and Support
  • Seamless Integration
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Dramatically Increase Productivity and Ensure Proper Payment

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“When I think about RCxRules, I think about them more as a business partner rather than just a vendor, because they’ve really listened to us—what our business needs are and helped to configure our system to meet those needs.”
Chad Barringer Director of Revenue Cycle Management, OrthoCarolina
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Expand Your Team’s Reach and Control with Seamless Integration

By leveraging a robust data model and modern technology, RCxRules seamlessly integrates with your existing EMR and revenue cycle management systems.

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Experience unprecedented automation capabilities
for your fee-for-service and value-based revenue streams.

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