● For Health Plans & Risk-Bearing Provider Groups

Close the HCC Coding Gaps Putting Your RAF Revenue at Risk

One closed-loop workflow that captures every legitimate HCC code at the point of care — and validates it against MEAT criteria before it ever reaches CMS.

Surface suspected HCCs
MEAT-backed audit defensibility
Seamless EHR integration
Improved RAF accuracy
Book Your Strategy Call

15-minute call · No commitment · Understand your own RAF exposure

Book Your Risk Adjustment Strategy Review

Get a live walkthrough of how HCC Assistant and HCC Validator work together to superpower your risk adjustment strategy.

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The Two Gaps

Two Places You're Losing Revenue

Most organizations only see one side of the problem — until an audit or a bad quarter forces the other into view.

📉

The Capture Gap

Legitimate HCC codes are falling through the cracks.

When providers miss HCC codes, your RAF scores take the hit. By the time your reports flag the gap, the encounter is closed and the revenue opportunity requires costly rework to recover.

⚠️

The Validation Gap

The codes you do capture can't always survive a chart review.

Diagnoses go to CMS without confirmed MEAT support. When RADV audits hit, the documentation doesn't hold up. Recoupment risk grows with every unsupported code.

Most groups try to close these gaps with manual chart review alone — which still costs staff hours and doesn't catch everything before submission.

The Inferscience RADV Bundle closes both gaps automatically, in a single workflow.

The Solution

A Closed-Loop Risk Adjustment Workflow

Built for health plans and provider organizations that can't afford to guess at RAF accuracy.

1 Capture at point of care
2 Validate against MEAT
3 Submit with confidence

HCC Assistant

Close Coding Gaps Inside the EHR

Analyzes structured and unstructured clinical data in real time, surfacing legitimate HCC codes that would otherwise be missed — without disrupting provider workflow.

Result: more accurate RAF scores, fewer retrospective chart-chases.

HCC Validator

Eliminate Recoupment Risk Before Submission

Automatically checks every HCC code against MEAT criteria before CMS submission, flagging unsupported diagnoses with a Pass/Fail result and a full evidence trail.

Result: reduced RADV exposure, documentation your compliance team can defend.
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In 8 months, our organization has presented more than 269K HCC codes to Providers and Advance Providers. Our coders and 300+ primary care providers find it to be very straightforward and user friendly.

athenaOne User
Billing Staff, Multispecialty
Common Questions

Before You Book the Call

Does this work with our EHR? +

HCC Assistant is built to integrate with major EHR platforms — tell us what you're running on the call and we'll confirm fit before you commit to anything.

How long does implementation take? +

Most groups are live in weeks, not quarters. We'll scope a realistic timeline for your environment during the strategy review.

Is this secure and HIPAA-compliant? +

Yes — the platform is built for regulated healthcare data from the ground up. We're happy to share our security and compliance documentation.

What happens on the 15-minute call? +

No sales pitch — we'll walk through where your RAF scores and RADV exposure likely stand today, based on your organization type and EMR.

Ready to Audit-Proof Your RAF?

Get a live look at your risk adjustment exposure — no pressure, no obligation.

Request a 15-Minute Demo

Takes 30 seconds to book