Prospective & Concurrent Risk Adjustment
Optimizing performance through combining prospective HCC suspecting prior to point-of-care with post-encounter documentation and coding review.
100M+
Annual Reviews
1,500+
Provider Clients
100+
Payer Clients
97+%
Coding Accuracy
98+%
Client Retention
65+%
of US MA Review
Integrating Risk Adjustment into Everyday Clinical Workflows
Value to Providers
New & Earlier Revenue
Upstream RAF where you hold risk, plus payer-funded incentives for your upstream engagement.
Better Care & Outcomes
Complete documentation supports better care and value-based contract performance.
Less Friction, Less Burden
Prospective and concurrent coding delivered inside your existing workflows.
Preferred Payer Standing
Deepen your payer relationship and strengthen network positioning.
Proven Results
~0.12
Avg RAF Lift From Suspects
$300–720
Net Rev PMPY From Suspects
70–90%+
HCC Recapture Rate
15–40%
Net HCC Lift
GLOBAL & US-BASED OPERATIONS
Secure and Compliant Delivery Models
By leveraging a global delivery model, providers can replace large domestic FTE teams with highly trained, specialized certified coders at a fraction of the cost. Our standardized workflows, rigorous QA, and transparent reporting ensure accuracy, compliance, and consistent performance, all without sacrificing control or oversight, while maintaining a 98% accuracy rate.
Transparency & Compliance
Performance Analytics & Dashboards
at prospective, concurrent & program levels
Comprehensive Actions Report
every coding and query action, fully auditable
Compliance & RADV Protection
ensuring the highest accuracy of coding to mitigate RADV exposure
In-House Coding Capacity
Full-time employed coders, not subcontractors, so we control volume, speed, and quality.
Full RA + Revenue-cycle Depth
Prospective, concurrent, retrospective, HEDIS, and RADV in one partner across the lifecycle
Broad and Deep Provider Reach
Deep, existing provider relationships drive engagement and adoption competitors cannot match.
Enterprise Compliance & Security
HITRUST-certified, HIPAA-aligned controls that clear health-plan vendor-risk reviews.