Turn Gaps into Gains with Our Risk Adjustment Platform
Our SaaS based platform provides coding, auditing, real-time data tracking and analytics to optimize revenue.
Maximize Accuracy and Optimize Revenue
Healthcare organizations lose millions annually due to incomplete documentation, uncaptured diagnoses, and coding inaccuracies. Our Retrospective Risk Adjustment Platform uses advanced artificial intelligence to mine unstructured clinical data, uncover hidden risk gaps, and recover revenue—while ensuring compliance and improving patient care.
In today’s complex healthcare landscape, accurate risk adjustment is critical for ensuring proper reimbursement, reducing compliance risks, and delivering better patient care. Our advanced Risk Adjustment Platform leverages AI-powered analytics and seamless EHR integration to identify gaps in documentation, improve coding accuracy, and optimize revenue capture—while keeping you ahead of regulatory changes.
Features
Predict risk score trajectories and HCC opportunities with high accuracy to prioritize interventions.
AI-Driven RAF Forecasting
Identify high-risk members and clinical suspect opportunities by care setting or PCP attribution.
Member-Level Risk Segmentation
Track chart status, coder productivity, and SLA compliance with drill-down to individual providers or clinics.
Real-Time Performance Dashboards
Build and export reports by provider, plan, HCC, or date range—all with Excel, PDF, or API options.
Customizable Reporting Hub
RADV simulations and dual-pass audit tracking minimize denials and prep for CMS reviews.
Audit-Ready Compliance Tools
HIPAA-compliant platform with encrypted data feeds and granular user permissions.
Secure, Role-Based Access
Benefits
Risk adjustment ensures that payers and providers are fairly compensated for the complexity and severity of patient conditions.
Coding
Analyze clinical notes to ensure that all valid documented conditions are captured. Our coders are AAPC and AHIMA certified with significant experience in the industry to deliver high quality results.
Auditing
Obtain highest quality and accuracy of medical record reviewed by using our platform. With us you'll improve accuracy, have a complete audit trail, and reduce risks & cost.
Validation
Achieve high documentation accuracy by performing chart validations. Capture supported diagnoses, identify diagnoses without support, and improve compliance.
Request Additional Information
Start a conversation to expand coding capacity, RAF lift, or prepare for HCC changes.