Less Burnout. Better Outcomes.

AI-Powered Solutions for

Bridging the gap between payers and providers
with real-time insights.

Inferscience brings together elements of
clinical intelligence into a unified, AI-powered ecosystem

Our solutions use advanced natural language processing (NLP) and clinical logic to bring together structured and unstructured patient data from the EHR, health information exchanges (HIEs), and claims. This enables your organization to: 

Achieve Stronger alignment with value based goals

Make more accurate
clinical decisions

Improve RAF scores

Explore Our Products

Smarter Solutions for Risk Adjustment
Quality and Data Optimization.

Our products work together to transform complex clinical data into actionable insights, reducing administrative burden while improving quality performance and documentation accuracy across your organization.

Intelligent HCC Suggestions

Our NLP analyzes structured notes, unstructured text, and historical data to surface clinically supported HCC codes in real time.

Advanced RAF Optimization

Identify chronic conditions, recapture opportunities, and overlooked diagnoses to strengthen RAF accuracy and boost Medicare Advantage reimbursement.

Real-Time Coding Recommendations

Flags existing and potential HCC conditions directly in the EHR for faster, more accurate decision-making at the point of care.

Improves Documentation Quality

Provides a digital trail showing exactly why a code is suggested, strengthening compliance and audit readiness.

Improve Patient Care

Surface needed labs, screenings, and other gaps so providers can act during the visit.

Increase Quality Scores

Reduce missed gaps by surfacing payer requirements inside the EHR for point-of-care action.

Maximize Funding

Close more gaps accurately and on time to strengthen value-based performance.

Reduce Admin Burnout

Eliminate portal logins & manual reconciliation by bringing care gap data into the EHR.

Unified Patient View

Bring diagnoses, meds, labs, imaging, notes and more into one clear, synthesized snapshot so clinicians don’t have to spend extra time clicking through the EHR.

AI Chatbot

Ask patient-specific questions and receive instant, evidence-informed answers sourced directly from chart data and external documents.

External Records Fusion

Automatically ingest and interpret referrals, hospital reports, and scanned PDFs to ensure the full picture is always available.

Visit Prep Insights

Get a fast, AI-powered overview of what’s clinically relevant for the upcoming visit, reducing prep time and cognitive load.

Real-Time MEAT Validation

Ensure every diagnosis is fully documented before submission, reducing audit risk and strengthening RAF accuracy.

OIG High-Risk Code Detection

Automatically flags ICD-10 codes most likely to trigger scrutiny so plans can correct issues before they become liabilities.

Concurrent Provider Guidance

Delivers instant, actionable recommendations during documentation to help clinicians submit defensible, compliant diagnoses

Audit-Ready Documentation

Generates clear, structured evidence trails that simplify RADV preparation and protect plans from costly recoupments.

EHR Integrations

Inferscience AI solutions integrate seamlessly with your EHR for maximum efficiency

Testimonials​

Inferscience Blog

We have a lot to say!  Here is a collection of valuable information on HCC Risk Adjustment Coding, Clinical Decisions Support, healthcare quality, the business of healthcare and clinical issues as well as Inferscience news.

Clinician using real-time AI clinical decision support during a patient visit to improve documentation accuracy at the point of care.

AI in Action: Why the Point of Care Matters Most

Quality + Risk Adjustment: The Operational Marriage No One Can Avoid

A conceptual illustration of medical data being filtered for higher specificity and precision, representing the CMS-HCC Version 28 risk adjustment model shift.

Care Decoded Insights | Making Sense of CMS HCC V28 and the Push for Specificity

See How Inferscience Supports Smarter Risk and Quality Programs

Learn how Inferscience improves risk capture, closes care gaps, and reduces admin burden for payers and providers.