Our team evaluates medical records in real time to ensure that HCCs are accurately identified and documented during active encounters. This approach minimizes costly end-of-year sweeps and reduces documentation errors by capturing risk conditions before claim submission. Any overlooked diagnoses are corrected within the provider workflow to ensure accuracy and completeness.

Through proactive chart reviews, our certified coders and auditors uncover care gaps, insufficient documentation, and missed chronic condition assessments. We support clinical teams by delivering point-of-care insights so physicians can more effectively manage high-risk patients and properly document suspected HCC conditions.

Our retrospective audits analyze previously submitted encounters to identify unreported or undocumented HCCs that impact RAF scores. We detect diagnoses missing from original claims and ensure accurate submission to CMS while helping organizations minimize the risk of CMS RADV audit findings.