Accurate Risk Adjustment Data That Eases Administrative Burden

Save providers hours of manual effort with automated HCC coding recommendations at the point of care. Inferscience was built by physicians who understand the frustration and fatigue of risk adjustment workflows – and know how to deliver more accurate and reliable claims.

Average RAF score improvement

HCC coding recommendation accuracy

Risk Adjustment Made Simple

Leading healthcare providers trust Inferscience to streamline and enhance their risk adjustment processes:

Reduce Provider Workloads

Eliminate tedious and time-consuming manual HCC coding processes to free providers – and let them focus on patient care.

Enhance Documentation

Streamline clinical data and centralize structure and unstructured data to eliminate documentation gaps.

Improved Provider Engagement

Patients’ health and medical histories to deliver more effective and efficient care plans.

Comprehensive Solutions for Providers

HCC Assistant

Take the Pain Out of HCC Coding

HCC Assistant is an EHR-integrated HCC coding platform that frees providers from repetitive risk adjustment tasks and eliminates HCC coding gaps – delivering 35% higher RAF scores on average.

The tool uses advanced Natural Language Processing (NLP) to analyze patient data and produce automated HCC code suggestions in real time – allowing the provider to accept or reject them in seconds based on their expert opinion.

Care Gaps

Address Care Gaps with Ease

The Care Gaps app lets providers identify and close care gaps within their normal workflow:

Integrate a complete list of care requirements directly into your EHRs
Enable providers to quickly view and address gaps in care
Update the plan of care with a single click to save time and effort

HCC Validator

Reduce Audit Risk and Save Hours of Research

The HCC Validator analyzes the clinical note, validates diagnosis codes in the assessment section against MEAT criteria, and gives a clear pass or fail result for those codes:

Avoid the tiring process of searching for encounter notes
Enhance documentation to support insurance claims
Ensure full compliance with HCC reporting requirements

Claims Assistant

Identify HCC Coding Gaps Before It’s Too Late

Claims Assistant performs a gap analysis on claim files to suggest HCC codes which may have been billed by other providers or by the patient’s primary care provider in the previous calendar year:

Give providers recommendation directly within their workflow
Gain a complete 360 view of patient interactions
Improve relations with providers by providing an accurate view of expected claims

“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

“Inferscience really speeds up the HCC process. It’s a great tool for providers as well as coding personnel in catching opportunities throughout the entire chart.”

athenaOne User
Administrative Staff, Multispecialty

“It has been a great opportunity to work with the Inferscience program, it is very user friendly. It enhances our accuracy and consistency with the HCC coding and allows us to produce quality service for our providers.”

athenaOne User
Administrative/Clerical Staff, Multispecialty

Keep Payers in the Loop with Our Exclusive API

Give payers and third-party vendors seamless and fully compliant access to risk adjustment data and analysis:

Increase health plan coordination to improve patient care
Eliminate data gaps and interoperability issues with payers
Unlock savings for both parties with more accurate risk adjustment data

Book a Demo