With our AI & NLP-Powered Retrospective Solutions, you are more ready than ever for CMS audits with guaranteed ROI
Our claim classifiers lay the groundwork for prioritized audits.
We identify potential Adds (unclaimed) and Deletes (overclaimed) codes in the same tool
Eliminate RADV/OIG Audit Risks
We equip you with scalable, AI-driven solutions, delving into pertinent risk adjustment factors to address challenges and devise strategic CMS implementation plans. Our innovative approach ensures immediate efficacy and future audit readiness that goes beyond mere technical assistance.
3- level reviews(audits) before submission ensures accurate coding & compliance
Serves all stakeholders having compliance experience along with expert coders for visible, rigorous ‘continuous Audit improvement’
A single Streamlined workflow ensures quality & eliminates manual error, creating audit-ready documentation
3- level reviews(audits) before submission ensures accurate coding & compliance
Serves all stakeholders having compliance experience along with expert coders for visible, rigorous ‘continuous Audit improvement’
A single Streamlined workflow ensures quality & eliminates manual error, creating audit-ready documentation
Our comprehensive CMS Audit Risk Adjustment Solution processes varied & extensive patient and coding data from diverse clinical sources to ensure compliance and quality scores per CMS standards, resulting in top-notch care and outstanding Clinical ROI.
“Gain peace of mind with accurate documentation that supports all submitted codes.”
“Reduce errors and the risk of costly recoupments, increase RAF scores.”
“Free your staff with automated chart reviews and streamline audit preparation.”
“Maximize revenue and minimize unexpected financial surprises post-audit.”
Utilizing its cutting-edge Retrospective Audit Solution, our Nero-Symbolic AI platform is tailored for healthcare payers. It enables error-free full clinical data potential, compliance assurance, and revenue maximization.
Utilizing NLP driven risk adjustment solutions enables accurate risk identification, prompting early interventions.
Integrating our smart OCR into clinical workflows enhances compliance with government regulations. Ideal for clinical audit teams, it facilitates seamless data extraction for claim processing & submission
Leveraging API technology establishes trust between third-party healthcare platforms, enabling secure access to sensitive patient data across healthcare EHRs etc
Our Neuro-Symbolic AI-based solution performs customizable Chase List Prioritization and intelligently, stratifies, and prioritizes MA members based on probable higher ROI, setting the stage for efficient, profitable, and compliant risk adjustment programs
We securely handle extensive patient data to prevent unauthorized access and malicious attacks. Our coding experts also conduct record audits to identify billing errors.
HCC audits and RAF scores calculate a patient’s Risk Adjustment Factor. Thorough HCC code reviews ensure accurate patient documentation.
Experience precise HCC retrospective coding, identifying missed revenue opportunities and ensuring accurate risk adjustment documentation.
Benefit from thorough retrospective chart reviews, ensuring compliance, minimizing audit risk, and optimizing reimbursement.
Maximize revenue capture with comprehensive retrospective chart audits, identifying coding errors and documentation gaps for enhanced compliance.
Efficiently prioritize chart reviews with our Chase List prioritization tool, focusing on high-yield cases for optimized revenue potential.
Leave all your technological concerns behind – we will take care of it. Let’s move forward from Risk to Revenue
