Clinical & Revenue Intelligence
Clinical Rules Engine
Author, publish, and govern medical-necessity and coding rules.
AI Copilot
Suggests I25.10 based on documented history of CAD.
Illustrative interface preview
Clinical and coding rules that live in spreadsheets or institutional memory can't be consistently applied, versioned, or audited.
MedTech Q's Clinical Rules Engine gives rules a real lifecycle — authored, published, retired, and rolled back — with every change attributable and every evaluation run against live encounter data.
Benefits
Why teams choose this module
A governed lifecycle
Rules move through author → publish → retire → rollback, not silent in-place edits.
Owner-restricted authoring
Only the Owner role can author, publish, retire, or roll back rules — the same separation-of-duties posture the platform applies everywhere else.
Runs where coding happens
Rule evaluation feeds directly into the coding workstation and Revenue Intelligence, not a separate standalone tool.
Workflow
How it works, step by step
- 01
Author
A new rule is drafted.
- 02
Publish
The rule goes live and begins evaluating against real encounters.
- 03
Retire / Rollback
A rule can be retired, or rolled back to a prior version, without losing its history.
Enterprise Capabilities
Built for enterprise operation
Version history
Every rule change is tracked, not overwritten.
Cache invalidation on change
Publishing, retiring, or rolling back a rule invalidates cached downstream results (Clinical Decision Support, DRG, Revenue Intelligence, AI Copilot) so nothing serves stale recommendations.
See MedTech Q on your own data.
A guided walkthrough of the coding workstation, claims lifecycle, and executive reporting — scoped to what matters for your team.