Inferscience’s AI enabled software solutions enhances provider performance from within their workflow that improves and sustains health plan performance. This allows health plans to integrate with providers in real-time to capture accurate risk and quality data—improving outcomes, ensuring compliance, and reducing costs.
The physician-designed tool surfaces critical insights such as CMS-rejected codes, missed diagnoses, and recapture opportunities—delivering real-time RAF scores and actionable data through intuitive dashboards that support payer management, productivity, and performance tracking.
With built-in tools for patient outreach and care gap closure, Inferscience solutions empowers payers to drive accurate risk reimbursement, strengthen provider engagement, boost STAR ratings, minimize RADV audit risk, and elevate the overall quality of care. overall quality of care.
Optimal Risk Performance
Gain greater control over risk programs with precise, real-time data that enhances risk accuracy and supports program success.
Increased STAR Ratings
Drive higher STAR ratings by surfacing open care gaps in real-time with no lag, leading to improved quality scores and better member outcomes.
Concurrent and Retroactive HCC Validation
Ensure complete and accurate risk capture by validating HCCs both in real time and retrospectively. Our solution supports compliance, reduces missed codes, and helps optimize RAF scores across the care continuum.
Seamless Interoperability
Effortlessly integrate with any EHR to streamline data exchange, giving health plans direct access to critical risk insights without disruptions.
Improved Provider Engagement
Ensure providers take action on risk gaps with embedded, point-of-care insights—helping health plans achieve stronger program performance and compliance.
Inferscience’s powerful AI works in real-time to ensure precise risk capture at the point of care, leading to more accurate RAF scores and improved risk program outcomes.
Maintain compliance and minimize audit risk with built-in concurrent and retrospective HCC validation, ensuring complete and accurate risk adjustment documentation while supporting timely quality reporting and program integrity.
