Evidence-backed HCC coding, inside Epic
HCC Assistant surfaces prioritized HCC opportunities into Epic's billing work queues, so coders review a focused, high-yield list instead of every chart.
A 700-provider clinically integrated network has coded HCCs with Inferscience since 2020. Read the case study →
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What HCC coding software integrates with Epic?
Inferscience's HCC Assistant works with Epic by surfacing prioritized, evidence-backed HCC opportunities directly into Epic's billing work queues, so coders review a focused list instead of every chart.
Its analytics refine flagged charges to the ones that actually warrant review, turning a high-volume queue into a short, high-yield worklist, all inside the Epic environment your teams already use.
What real Epic integration should deliver
Fits the Epic workflow
Opportunities appear in Epic's coding and billing work queues where your coders already operate, not in a separate system that duplicates work.
Prioritizes, not just flags
The value is in narrowing volume. HCC Assistant surfaces the opportunities supported by evidence and worth a coder's time, not every possible code.
Shows the evidence
Each suggested HCC comes with the clinical data that triggered it, so reviewers validate quickly without re-reading the whole chart.
HCC Assistant with Epic
HCC Assistant creates review tasks directly in Epic's billing work queues, then applies analytics to refine the flagged charges.
In a typical scenario, a queue of roughly 1,000 charges is narrowed to a fraction that genuinely warrant coder review, each paired with the clinical evidence behind the suggested HCC. Coders validate a prioritized, evidence-backed worklist instead of manually searching every chart, which improves both throughput and coding accuracy. Every suggestion carries an evidence trail for MEAT and RADV defensibility, and HCC Assistant is maintained against the current CMS-HCC V28 model (100% for payment year 2026).
Frequently asked questions
Does Inferscience integrate with Epic?
Yes. HCC Assistant creates review tasks in Epic's billing work queues and refines flagged charges into a prioritized, evidence-backed worklist for coders, inside the Epic environment.
How does HCC Assistant reduce coder workload in Epic?
It narrows high-volume charge queues to the opportunities that actually warrant review. In a typical scenario, roughly 1,000 charges are refined to a small fraction, each with supporting evidence, so coders validate rather than search.
Does each suggested code come with supporting evidence?
Yes. Every HCC opportunity includes the clinical data elements that triggered it, so reviewers can confirm support quickly and keep documentation MEAT- and RADV-defensible.
Is it maintained for the current CMS-HCC V28 model?
Yes. HCC Assistant is kept current with CMS-HCC V28, which reached 100% implementation for payment year 2026.
Which other EHRs does Inferscience support?
In addition to Epic, HCC Assistant integrates with athenaOne and eClinicalWorks, and offers an API for payers and third-party vendors.