Our AI platform seamlessly reads through 100% of patient charts, analyzing them for suspect conditions which have not been reported and HCC coding gaps for retrospective opportunities with unparalleled accuracy. Whether it’s PDFs or data extracted directly from your EMR, our system integrates effortlessly into your workflow.
For qualified opportunities, we will offer a risk-free trial to showcase our AI's capabilities.
Here’s what you’ll get:
• Analysis of up to 1,000 patient charts
• Detailed insights into suspected conditions and evidence supporting those conditions
• Identification of potential coding opportunities (if claims data is provided)
• A comprehensive summary of findings to help you make informed decisions
• Full access to our system for 7 days—completely risk-free
Our advanced AI platform is designed to simplify the process, ensuring accuracy, compliance, and mitigate clawbacks—all while reducing the burden on your team.
Our AI engine meticulously reviews medical records and claims data to validate diagnosis codes and identify potential risks or opportunities. Here’s how it works:
Our AI engine will analyze all associated charts to determine whether the diagnosis codes submitted in the claim can be substantiated.
We flag any diagnoses that may present a RADV risk, ensuring compliance and reducing audit exposure.
For diagnoses that cannot be substantiated, we provide a streamlined workflow to help your team address exceptions efficiently.
Our system also identifies missed opportunities—diagnoses that were supported in the medical records but not included in the claims data.
You’ll receive a detailed summary of flagged diagnoses at risk and potential coding opportunities.
Our reports are designed to help you take immediate addressable action, whether it’s addressing RADV risks or capturing missed revenue opportunities.