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
Models assess patient health complexity to predict future healthcare costs using clinical and demographic data.
Accurate Risk Prediction
​Clean, normalize, and link disparate data sources (claims, EHRs) to support precise risk scoring.
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Enhance Data Quality
Ensure health plans and providers receive appropriate payments by accurately reflecting patient risk.
Optimize Reimbursements
Minimize compliance issues by aligning documentation with regulatory requirements.
Reduce Audit Risks
Streamline HCC (Hierarchical Condition Category) coding to capture all relevant diagnoses and reduce gaps.​​
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Improve Coding Efficiency
Identify high-risk populations and care gaps to support value-based care strategies.
Drive Analytics & Insights
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.