3-Pillar Value Proposition

1. Chart AI Copilot 

Delivering real-time clinical intelligence at the chart level

Leverages proprietary NLP and LLMs to scan structured & unstructured data for HCCs and missed coding opportunities. 

  • Assists coders and QA teams with compliant code suggestions, source-linked references, and confidence scoring. 

  • Supports prospective, retrospective, and concurrent chart reviews. 

  • Tracks every action for audit-readiness and traceability (full audit trail). 

  • Seamlessly integrates with your existing EHR or coding platform. 

2. CMS Submission Compliance

Automated validation and reconciliation across your entire submission pipeline

Ingests and analyses X12 837 I/P/D encounter files. 

  • Monitors TA1, 999, 277CA, MAO-002, MAO-004, MMR, and MOR files for errors and rejection trends. 

  • Real-time dashboards flag rejected or dropped encounters. 

  • Built-in reconciliation tools link rejected claims to charts, ensuring no revenue is lost. 

  • Keeps your plan audit-ready and aligned with CMS requirements. 

3. RAF Optimization

Drive more accurate risk scoring and maximize revenue without over-coding

Identifies undocumented HCCs across clinical records using AI. 

  • Prioritizes high-impact, high-chronic patients to close the right gaps first. 

  • Supports prospective programs that improve performance before the look-back ends. 

  • Reduces risk of over- or under-coding by flagging anomalies with contextual evidence. 

  • Generates predictive RAF impact and submission completeness metrics.