Modern cloud architecture with enterprise-grade security and scalability to process millions of claims in real-time
with two distinct platforms
Advice Healthcare delivers comprehensive payment integrity solutions through two powerful platforms designed to maximize savings and streamline operations.
Recovery, Avoidance and Dispute Application — End-to-end workflow automation managing the complete lifecycle from concept creation to recovery collection.
Clinical, Payment Integrity and Quality Measures — Comprehensive modules using state, federal, and proprietary algorithms. Applications can be customizable for your needs.
Recovery, Avoidance and Dispute Application (RAD)
RAD manages the complete lifecycle from concept creation to recovery collection. Supports both pre-pay avoidance and post-pay recovery with integrated dispute management and compliance tracking.
Natural Language SQL for concept development and edit opportunity identification
End to end Recovery Reconciliation with AI check matching and offsets
Pre-pay edits and real-time claim validation to prevent improper payments
AI Prescreened Disputes with decision support and audit trails
Comprehensive suite of healthcare technology modules powering clinical validation and payment integrity operations
Modules use state, federal, and proprietary algorithms customizable for provider contracts. Natural language SQL enables centralized operations. License a single module or the complete suite for internal use.
AI-driven clinical validation, DRG regrouping, and repricing for hospital admissions
Ambulatory and outpatient facility claim validation and APC grouping
Skilled Nursing Facility payment validation and PDPM classification
End-Stage Renal Disease dialysis claim validation and bundling
National Drug Code validation and pharmaceutical claim processing
Home health agency claim validation and PDGM grouping
Clinical documentation review and medical record management
Quality assurance and compliance monitoring across all modules
Our AI engine combines multiple machine learning approaches to deliver unparalleled accuracy and insights in payment integrity
Neural networks continuously trained on extensive claims data for improved accuracy
Clinical insights extraction, Text-to-SQL queries, concept ideation, AI prescreened disputes
Analyze medical images and scanned records
Continuously improve through feedback loops
Bank-level security with comprehensive compliance certifications to protect sensitive healthcare data
Real-time analytics with self-service reporting and tracking to drive data-driven decisions and continuous improvement
200+ pre-built reports with automated scheduling and multiple export formats
Custom report builder with ad-hoc querying and API access for BI tools
ROI tracking, provider scorecards, and trend analysis with forecasting
Schedule a personalized demo to see how our technology platform can transform your payment integrity operations