Discover the pros and cons of AI-augmented risk adjustment and how tech + expertise drive results.

Quality Documentation

Improving Accuracy & Data Integrity

Review

Defensible, Audit-Ready Records

Automation

Automating Clinical Documentation

Education

Training Teams for Documentation Accuracy

Compliance & Risk-Based Training

Risk-Focused Documentation Compliance

Demographic Registration

Accurate Data From First Touch

Prior Authorization

Preventing Delays Before Care

Charge Capture

Capturing Charges Without Leakage

Edits & Rejections

Reducing Claim Errors Early

Denials Management

Recovering Revenue From Denials

Payment Posting

Accurate Payments, Faster Close

Credit Balances

Resolving Credits With Precision

Insurance Follow-Up

Accelerating Payer Responses

Correspondence & Appeals

Strengthening Payer Appeals

Concurrent Coding

Real-Time Coding for Better Outcomes

HCC Coding

Improving Risk Capture Accuracy

Inpatient & Outpatient Coding

Precise Coding Across Care Settings

Ancillary Coding

Complete Coding for Ancillary Services

CPT, DRG & HCPCS Optimization

Optimized Codes for Proper Reimbursement

Revenue Integrity

Protecting Revenue Through Coding

Population Health & RAF Optimization

Optimizing RAF for Population Health

Risk Adjustment Analytics

Analytics-Driven Risk Adjustment

Audit & Quality

Audit & Quality Services

Risk-Bearing Entities: Tailored for Precision

Custom solutions to enhance risk-adjustment accuracy, boost network efficiency, and deliver uniform reporting for scalable management and informed leadership decisions.

We understand the challenges you are facing

Accurate Revenues

Ensuring premium revenues are accurate across a risk pool of diverse and disaggregate providers.

Multi-EHR Solutions

Implementing high-performing, cost-effective solutions across multiple EHRs.

Change Management

Designing programs to teach HCC coding rules that drive provider results.

High-Risk Identification

Ensuring accurate identification of high-risk patients before and during care.

Best Practices

Supporting local coding and billing teams in implementing sustainable best practices.

Balanced Performance

Achieving performance goals without overwhelming office staff with new reporting requirements.

EHR Compatibility

Our process works with all EHRs, providing a uniform method to measure baseline and performance improvement across the provider network.

Complete Documentation

Ensuring complete provider documentation within the revenue cycle, capturing codes as clean claims are sent to the clearinghouse.

Collaborative Workflows

Collaborating with providers and coding teams to design workflows for maximum impact and minimal disruption.

Our Results

Meaningful impact for organizations
in Value-Based Care models

Overall RAF score increased
0 %
Net new HCC reported
0 HCC
Depression Screening reporting increase
0 %
Annual Wellness Visits (AWV) capture rate increased
0 %
Transitional Care Management (TCM) reporting increase
0 %

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