RVUs are a key metric used to measure the volume and complexity of work performed by physicians, and are a factor in determining compensation in many practice settings. VerifyMedicalCodes.ai optimizes the relative value units (RVU) and revenue cycle management (RCM) potential of a provider for the facility's benefit, as well as for the patient care experience because the provider does not get bogged down in the paperwork details.

This system positively affects the patient experience, as it frees up the provider from anxiety and paperwork. The system also optimizes the speed and success of your reimbursements.

THE VOLUME OF NOTES, COMPLEXITIES, CHALLENGES, AND OVERSIGHTS DON'T MATTER

VerifyMedCodes.ai is a proprietary AI-powered intelligence system designed to streamline and enhance every phase of the medical billing lifecycle for healthcare providers.

From the moment a patient visit begins to the final reimbursement, this end-to-end solution ensures accuracy, efficiency, and compliance.

At the core of VerifyMedCodes.ai is its Dynamic Diagnostic Mapping System, which intelligently connects patient symptoms to precise ICD-10 and CPT codes by using advanced AI trained in real-world clinical context—eliminating guesswork and significantly improving first-time coding accuracy.

Reliable and Current MDM (Medical Decision Making) Validation automatically checks for compliance with evolving E/M coding requirements, such as problem complexity, risk assessment, and data review standards, helping clinicians meet payer expectations effortlessly.

The system’s Natural Language Processing (NLP) capabilities read and interpret physician notes to suggest highly accurate diagnosis and treatment codes, dramatically reducing the need for manual coding and enabling a 40% reduction in documentation time.

Meanwhile, the Predictive Analytics module scans for potential coding errors and likely claim denials before submission, improving billing success rates and decreasing denial rates by 30%. This preemptive intelligence not only accelerates reimbursements but also minimizes back-and-forth appeals and administrative burdens.

The platform’s built-in specialty-specific modules—tailored for areas like cardiology, pediatrics, and more—further optimize relevance and performance, ensuring nuanced compliance with specialty-driven billing protocols. In addition to automating the generation of audit-ready documentation,

VerifyMedCodes.ai stays continually updated with real-time compliance changes across both public and private payers, eliminating the risks tied to outdated code libraries and shifting regulations. For practice managers and billing teams, this translates into cleaner claims, faster reimbursements, and lower administrative overhead.

For clinicians, it means FAR less time documenting and FAR more time focused on patient care. By turning a historically error-prone and labor-intensive process into a streamlined, intelligent workflow, VerifyMedCodes.ai transforms medical coding from a reactive burden into a proactive advantage - also ensuring practices stay compliant, profitable, and efficient in a highly regulated landscape.

If any claims get denied, or a medical office gets audited, VerifyMedCodes.ai shines on those two fronts as well!

Plus, the system stays updated on the latest government and compliance changes, reliably, and it keeps getting smarter, every day.

Your data is absolutely secure and HIPAA compliant.

We use enterprise-grade encryption, maintain HIPAA compliance, and never store or share your patient data. All processing is done securely.

As you dictate, VerifyMedCodes.ai cross-checks terms, compliance, regulatory, and diagnosis data from a mix of authoritative sources, typically updated in real time.

Here’s where they get this critical information:

💼 1. Government Regulatory Agencies

Centers for Medicare & Medicaid Services (CMS):

ICD-10-CM, CPT/HCPCS codes, E/M guidelines, NCCI edits

National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs)

Payer-specific billing rules

Office of Inspector General (OIG):

Compliance updates, audit risk areas, fraud alerts

U.S. Department of Health & Human Services (HHS):

HIPAA compliance, billing regulations, data privacy rules

💼 2. Code Licensing Organizations

American Medical Association (AMA):

Publisher of CPT® codes, guidelines, and descriptors

Updates released annually and via quarterly errata

World Health Organization (WHO):

Oversees ICD-10 coding structures globally (adapted by CMS in the U.S.)

💼 3. Private Payers & Insurance Guidelines

Many AI platforms integrate payer-specific rules (e.g., Aetna, UnitedHealthcare, Blue Cross)

These rules define variations in what’s reimbursed, bundling logic, and prior authorization requirements

💼 4. Proprietary & Commercial Databases

Vendors like Optum, Change Healthcare, Truven Health Analytics maintain commercial medical coding databases with fee schedules, claim denial patterns, and compliance logic.

Some AI platforms license these datasets or use them to train their models.

💼 5. Machine Learning from Claim Histories

De-identified claim and reimbursement data can train models to detect:

Denial trends

Coding patterns that avoid audits

Specialty-specific nuances (e.g., what codes trigger rejections in orthopedics vs. pediatrics)

💼 6. Real-Time API Feeds & Integration

Some AI systems ingest real-time data feeds from CMS and AMA APIs

Periodic automatic updates ensure they stay current with:

Annual code changes

Interim regulatory bulletins

Emergency coding rules (e.g., COVID-19 modifiers)

In short, these systems rely on a dynamic mix of public policy feeds, licensed codebooks, payer data, and historical billing analytics—combined with AI—to keep practices compliant and reimbursement-optimized.

Would you like a visual or diagram of how that data pipeline works?

In short, VerifyMedCodes.ai has been intentionally designed with an open API that makes it integrate with almost every existing system medical offices, underwriters, and payors utilize, but it's simultaneously built to maintain a medical operation's integrity and security.

Luckily, or maybe it wasn't luck, maybe it was skill, the VerifyMedCodes system does not require integration with any other system at all. It assists you with profoundly impressive intelligence, from dictation (that doesn't require you to speak punctuation. You just speak naturally into and it predicts the punctuation), all the way through successful reimbursements.

When you buy your first token, it's good to go. It's so intuitive, it requires zero training. Similar to H&R Block, it walks you through every step, and even tells you things you didn't know, all-along the way - to maximize the cash in your bank account.

Our mission is to revolutionize healthcare workflows by eliminating administrative inefficiencies, enhancing documentation accuracy, and empowering providers to focus on patient care. VerifyMedCodes.ai performance and results will always represent the gold standard for AI-driven medical documentation and coding solutions.

ROI is almost immediate:

Most every clinic breaks even financially after their first notes.

Each note costs about $1.50

Viable monthly ROI: 30%+ increase in reimbursement revenue.

💵Try out our live ROI Calculator and calculate your savings

Our top priority is to always bring immediate ROI to our clients, and 100% satisfaction guarantees.

Healthcare systems face growing financial and operational pressures to optimize workflows and reduce costs. Advances in AI and widespread EHR adoption have allowed VerifyMedCodes.ai architecture and proprietary technology architecture to lead the wave of healthcare technology innovation. The timing is perfect to capitalize on this shift with a solution that directly addresses pain points in medical documentation and coding.

VerifyMedCodes.ai can immediately increase the speed and amount of reimbursements by 50% or more.

www.verifymedcodes.com/pricing