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Risk adjustment platform for audit-ready RAF.

Defensible HCCs, before claims go out.

SynchroLink AI validates diagnosis documentation upstream, so only CMS‑defensible HCCs move forward. ACOs, MSOs, and risk-bearing groups stay RADV‑ready, protect capitation revenue, and recapture chronic conditions without adding provider burden.

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Validate before billing

Every diagnosis is checked for MEAT completeness and CMS‑aligned requirements before drafting.

Audit‑ready evidence

We link notes, labs, meds, and vitals into CMS/RADV‑ready evidence for each claim line.

Redocumentation & RADV readiness

Prior‑year HCCs are flagged for recapture; missing face‑to‑face, signature, or current‑year support is surfaced early.

Revenue impact visible

RAF lift is translated into modeled dollars, so leadership sees the real ROI.

Deploy fast, show results

Go live in under two weeks. Integrates with any EHR, across multiple facilities.

EHR integrations · RAF trusted by leading platforms

Clinicians stay in their EHR. We connect securely across multi-site health systems.

EHR integration: Epic
EHR integration: Oracle Cerner
EHR integration: Meditech
EHR integration: athenahealth
EHR integration: eClinicalWorks
EHR integration: NextGen
EHR integration: Veradigm (Allscripts)
EHR integration: Greenway Health
EHR integration: Practice Fusion
EHR integration: Epic
EHR integration: Oracle Cerner
EHR integration: Meditech
EHR integration: athenahealth
EHR integration: eClinicalWorks
EHR integration: NextGen
EHR integration: Veradigm (Allscripts)
EHR integration: Greenway Health
EHR integration: Practice Fusion
Why healthcare organizations partner with SynchroLink AI

From Evidence → Payment Integrity

Submit every claim with confidence — complete, compliant, and backed by clinical proof.

Close the gap between documentation and revenue

SynchroLink connects to your EHR to link each diagnosis to chart evidence—so RAF is defensible and reimbursement reflects true complexity.

Built for revenue integrityLive in 14 days
Built for coders; clinician-friendly: nothing new to learn

No added clicks for clinicians. Validation happens behind the scenes; CDI/coding sees a clean, accountable worklist.

Built for revenue integrityLive in 14 days
CMS/RADV-ready by design

MEAT, continuity, and provenance are enforced before submission.

Built for revenue integrityLive in 14 days
Audit readiness that scales

Line-level audit packs and CMS‑aligned checks keep every diagnosis defensible without added overhead.

Built for revenue integrityLive in 14 days
Quick to start, seamless to scale

Go live in under two weeks and prove financial lift within 30 days.

Built for revenue integrityLive in 14 days

Where SynchroLink AI fits

We don’t replace your systems — we make them smarter, faster, and more financially secure.

EHR / Clinical Systems
Epic • Cerner • Meditech • Athena

Clinicians document as usual.

No workflow change.

SynchroLink AI
Revenue Integrity Infrastructure

Reviews notes, labs, imaging, and meds; enforces MEAT; builds line-level Audit Packs; applies CMS/RADV checks.

Validates documentation, strengthens audit readiness, protects RAF.

RCM / Billing Platforms
Waystar • FinThrive • Experian

Submit clean, evidence-backed claims.

Faster reimbursement, fewer audits, defensible revenue.

We help health systems protect earned revenue by validating every diagnosis against complete chart evidence — before it’s billed.

Features that move RAF and revenue

Everything is intentional. Everything earns its keep.

Redocumentation & continuity recapture
  • Prior‑year HCCs flagged for this‑year recapture.
  • Continuity timelines show current‑year support.
  • Suppressed items show why and what makes them promotable.
Why it matters: Protect RAF stability by keeping chronic conditions current‑year defensible.
Pre-submission validation with evidence
  • Validates each diagnosis before claims are sent.
  • Map clinical notes, labs, and imaging to ICD-10/HCC with MEAT integrity.
  • Distinguishes between Suggested (current encounter) and Missing (chronic) diagnoses.
  • Alerts providers inside the EHR when documentation needs completion.
Why it matters: Ensure documentation reflects care delivered and CMS expectations before billing.
CMS/RADV readiness and recapture
  • Continuity checks across the calendar year prevent missed recapture.
  • Signature and face‑to‑face verification before a line can draft.
  • Audit failure reasons show exactly what CMS would request.
Why it matters: Reduce audit exposure and keep revenue defensible.
Risk gap detection at the right moment
  • Finds likely missed or underspecified HCCs based on documentation and history.
  • Connects every suggestion to supporting evidence in the chart.
  • Built-in ethical guardrails keep RAF improvements defensible.
Why it matters: Close risk gaps confidently without triggering compliance concerns.
CMS-aligned rules & modifier enforcement
  • Flags modifier, POS, and timing conflicts before submission.
  • Includes CMS-aligned logic with payer-specific overlays.
  • Prevents compliance drift by mirroring real adjudication rules.
Why it matters: Avoid audit exposure and revenue volatility before claims go out.
Calm worklists and clear accountability
  • Coders know what’s assigned, what’s due, and where evidence is missing.
  • Drafts arrive pre-built — teams review instead of retyping.
  • Leaders see throughput and bottlenecks without creating burnout.
Why it matters: Keeps teams efficient, compliant, and transparent to leadership.
Rapid deployment, measurable in 30 days
30-day pilot
  • Works alongside your current coding and billing stack — no rebuild required.
  • Integrates with leading EHRs.
  • Delivers before/after metrics in the first month via pilot dashboard.
Why it matters: Fast proof of value, zero disruption, scalable afterward.

What makes us unique

We close the last mile between documentation and reimbursement without disrupting clinicians or adding tools to manage.

Validate before submission

Every diagnosis is checked against chart evidence (notes, labs, imaging, meds) so claims leave clean and defensible.

MEAT integrity, automatically

We verify Monitor / Evaluate / Assess / Treat and surface misses or underspecification - no manual hunting.

Clinician alerts, inside the EHR

If MEAT is incomplete, we create a light EHR task/alert so the provider can update the note.

Audit-ready by design

Each claim line is compiled with linked evidence and provenance, so CMS/RADV reviews are fast, factual, and fully documented.

RADV risk intelligence

Continuity gaps, missing MEAT, and unsupported specifics are surfaced early so revenue stays accurate and defensible.

Secure, flexible integration

Connect easily to your existing systems. Start with simple file uploads or API and expand seamlessly across multi-site facilities. Clinicians stay in their EHR.

Bottom line: alert clinicians only when needed, ship CMS‑ready claims, and protect earned revenue.

Audit Pack: proof, not paperwork

Every diagnosis ships with linked chart evidence, MEAT verification, and provenance so CMS/RADV reviews are fast and defensible.

Evidence tied to every diagnosis

We ingest encounter notes, labs, imaging, vitals, and meds, then link the exact spans and artifacts that support each ICD-10/HCC line.

MEAT integrity, verified

Monitor, Evaluate, Assess, Treat — validated automatically from clinical artifacts. If a MEAT element is missing, we flag it and trigger an in-EHR task.

Provenance for auditors

Each artifact carries source, author, timestamps, and FHIR identifiers so you can show who ordered or documented what — no manual chasing.

Exportable, per-claim packet

One click generates an audit-ready packet for CMS/RADV requests and plan reviews — fast to assemble, easy to defend, and snapshot-stored at submission.

Bottom line: evidence before billing → CMS‑ready RAF, faster reviews, and protection from extrapolation risk.
How we help

We protect the revenue you’ve already earned

We sit between your EHR and billing — validating documentation, compiling chart evidence, and ensuring accurate reimbursement. Submit claims with confidence knowing every line is clean, defensible, and CMS‑ready.

Revenue & finance leaders
Revenue impactRAF lift30-day KPI pack
  • CMS-aligned guardrails reduce audit exposure before claims leave.
  • RADV readiness rollups show risk by contract and condition.
  • Pilot shows RAF lift, modeled revenue impact, and v28 effects in under a month.
Coding & clinical documentation
No new loginsMEAT attachedCalm queue
  • We pull encounter data via APIs (notes, labs, meds, vitals, imaging) and link diagnoses to evidence before billing.
  • Drafts arrive pre-built with MEAT; coders approve instead of rebuild.
  • Ownership, SLAs, and payer context keep work flowing without noise.
Compliance & risk teams
No MEAT, no draftAudit trailEthical guardrails
  • MEAT gate enforces ‘no evidence, no claim line’ without manual policing.
  • Line-level Audit Packs store timestamps, authorship, and provenance for audit readiness and internal review.
  • Ethical guardrails lift accuracy without increasing CMS/RADV risk.
See how it fits your team
Who we help

Built for risk-bearing teams at every level

From shared-savings ACOs to national plans, we meet you where you work. Choose the group below to see how SynchroLink AI supports your goals.

Risk-bearing networks

Keep shared savings from slipping through documentation gaps.

Shared savings leak when chronic conditions live in the chart but aren’t defensibly captured for the current year. RAF locks before recapture is complete, and CMS/RADV scrutiny punishes gaps. We fix that by validating documentation before submission and guiding recapture without extra work.

Your coders and clinicians stay in sync, your claims are CMS‑ready, and your entire network performs at a higher standard. You get more of the value you’ve already earned.

  • Risk-bearing conditions are documented, coded, and submitted on time.
  • MEAT-backed diagnosis codes flow to claims without a second pass.
  • Support compliance and improve performance across the network — even in sites with limited infrastructure or clinical staff.

End-to-end workflow

APIs or batch → Evidence mapped to MEAT → Audit pack & draft → Export/push → Redocumentation + RADV readiness.

  1. Step 1
    Ingest the full chart
    • Secure SFTP/batch to start; FHIR APIs when ready
    • Notes, labs, vitals, consults, imaging, meds
    • Claims files accepted for context and outcomes
  2. Step 2
    Auto-link evidence to diagnoses
    • Map ICD-10/HCC to MEAT (Monitor, Evaluate, Assess, Treat)
    • Show the exact note/lab/order behind each suggestion
    • We automagically label each diagnosis as Suggested (evidence found this visit) or Missing (historical/chronic—needs current-visit proof)
  3. Step 3
    Validate MEAT integrity & notify providers
    • Verify Monitor, Evaluate, Assess, Treat elements for each diagnosis.
    • If gaps exist, create an in-EHR task or alert for timely provider review.
    • Provenance recorded (user, timestamp, source).
  4. Step 4
    Generate audit packs & ready-to-submit claim lines
    • Compile per-diagnosis audit packs with linked evidence, identifiers, and timestamps.
    • Mark Suggested vs Missing diagnoses; only evidence-supported Suggested default to ready.
    • Export as CSV/837 or send via API for seamless submission.
  5. Step 5
    Redocumentation & continuity recapture
    • Prior‑year HCCs flagged for this‑year recapture
    • Continuity timelines show current‑year support
    • Suppressed items show why and what makes them promotable
Evidence → RAF → Revenue

How we measure success

Pilots are outcome-driven and time-boxed. If we can’t move these in 30–60 days, we’re not solving the right problem.

  • ↑ HCCs suggested per patient
  • ↑ HCC acceptance vs rejection rate
  • ↑ Chronic conditions recaptured YoY
  • ↑ RAF lift per patient (modeled $ impact)
  • ↑ MEAT completeness score
  • ↓ Coder time per chart

Coder Worklist → Accept → Draft

Make better claims, faster. Evidence is front and center. Drafts only generate when proof is present.

Diagnosis / Evidence
HCC (v24→v28)
Payer
v28 Impact
Action
Parkinsonism with MEAT spans shown
HCC 35 → HCC 22
Humana
RAF +0.12
MDD in remission (evidence validated)
HCC 59 → HCC 57
UHC
RAF +0.08
HF w/ acuity specified; Z79.4 present
HCC 84 → HCC 83
Aetna
Denials ↓
Drafted
Compliance first: Drafts only generate after MEAT is confirmed. We store the exact evidence window used.

RADV‑ready before submission

CMS audit criteria are applied upstream so every draft is defensible before it leaves the queue.

Missing MEAT support
Blocked
We surface the exact element needed before drafting.
Outside payment year
Flagged
We highlight recapture gaps and continuity issues early.
Unsigned or non face to face
Stopped
We require provider signature and face‑to‑face evidence.
Every line answers: “If CMS reviewed this tomorrow, would it pass?”

Pilot outcomes

We quantify impact in weeks

Not vanity metrics—operational signals that predict dollars and audit readiness.

Illustrative ranges. Final results depend on cohort size, payer mix, and starting baseline.

30-day pilot readout
Baseline → intervention → measured deltas (by cohort)
Modeled to CMS base rates
Speed
68%
drafting time down
Defensibility
92%
evidence-attached drafts
CMS readiness
88%
RADV-ready signals up
Measurement notes: drafting time measured in-worklist; evidence-attached rate reflects “support visible at decision time”; audit-risk deltas reflect missing MEAT/continuity/signature flags cleared pre-submission.
Drafting time
Process
↓ 25–45%
vs baseline (worklist + evidence surfaced)
Evidence-attached drafts
Process
95–98%
MEAT support visible at decision time
Audit-risk exceptions
Outcome
↓ 20–35%
missing MEAT, continuity, or signature flags
Validated HCC support
Outcome
+0.03–0.10
RAF potential (validated), cohort-dependent
Modeled $ impact
Outcome
$50k–$250k
30-day cohort (RAF-to-$ modeled)

Proof from the field

What teams say after the pilot

Less rework. Fewer surprises. More confidence in what moves forward.

Quotes are from pilots. Titles and org descriptors are generalized for privacy.

“
We kept seeing conditions documented, then invalidated during chart review. The pilot made it obvious what would hold up before it moved forward — which stopped late-stage HCC drops.
Context: Medicare Advantage only • chronic conditions • central coding • pre-bill review
First 30 days30-day pilotMAPre-bill validation
VP, Revenue Cycle
Revenue Cycle • MA-heavy primary care group
42 providers
“
We stopped debating what might survive reconciliation. Supported versus risky was clear, so fewer conditions dropped for avoidable reasons.
Context: Multi-site MSO • centralized HCC coding • pre-submission validation
Weeks 2–4Central codingPre-bill validationChart review
Coding Manager
Risk Adjustment Coding • Physician-owned MSO
12 coders
“
Audit prep used to mean rebuilding context from scratch. With evidence already encounter-linked, RADV-style readiness felt calmer — fewer escalations and fewer last-minute gaps.
Context: ACO / VBC organization • audit readiness focus • MA population
Pilot monthAudit readinessRADV prep30-day pilot
Director, Compliance & Audit Readiness
Compliance • ACO / VBC organization
90k lives
“
What mattered wasn’t providers using a new tool. Reviewers caught gaps earlier and sent clearer asks back while visits were still fresh — that’s what changed outcomes.
Context: Multi-site value-based network • centralized review • MA mix
Weeks 1–3Multi-sitePre-bill validation30-day pilot
Risk Adjustment Operations Lead
RA Operations • Multi-site VBC network
12 clinics
“
What we bought was predictability. Fewer late discoveries meant fewer escalations and no more ‘we found this too late’ explanations to leadership.
Context: Risk-bearing provider org • MA + ACO REACH • leadership reporting
After the pilotMAACO REACHAudit readiness
VP, Value-Based Operations
VBC Operations • Risk-bearing provider organization
MA + ACO mix

Why we’re different from legacy analytics

Built for coders to act — not analysts to observe.

SynchroLink AI
Legacy analytics platforms
Every diagnosis validated before billing — full MEAT coverage, fewer misses.Actionable
Inconsistent documentation checks leave gaps and audit risk.
Chart evidence auto-compiled with timestamps and provenance — ready for audit or internal review.Actionable
Scattered documentation requires manual gathering during audits.
CMS/RADV readiness rollups with failure reasons — act before audits hit.Actionable
Static analytics after the fact — patterns seen too late to prevent loss.
Secure, lightweight integration with Epic, Meditech, Athena — minimal IT lift.Actionable
Complex implementations and long lead times to show value.
Audit Packs generated automatically per claim — proof built in, faster audit response.Actionable
Manual audit prep, reactive workflows, delayed reimbursement cycles.
Every validated diagnosis becomes a bill-ready claim line — complete with linked clinical evidence and ready for submission.
Ethical guardrails

Get the right code - ethically

We make tricky choices simple and safe. Clear side-by-side guidance and required proof keep coding accurate - never aggressive.

Parkinsonism vs Parkinson’s
G21.4 vs G20

We show CMS/RADV implications, require MEAT evidence, and never auto-flip.

Guardrail: No MEAT → no draft. Required specifics shown inline before drafting.
MDD remission vs active
F33.x nuances

Side-by-side guidance; spans + checklist force specificity.

Guardrail: No MEAT → no draft. Required specifics shown inline before drafting.
HF acuity + insulin use
Z79.4

Prevents audit risk by ensuring required details are present.

Guardrail: No MEAT → no draft. Required specifics shown inline before drafting.

Security & compliance

BAA / HIPAA
We execute BAAs and operate least‑privilege, tenant‑isolated environments.
PHI handling
SFTP or TLS upload; encryption in transit and at rest; audit logging of all access.
CPT® licensing
Support for client‑held or vendor‑held AMA CPT licenses when CPT is displayed or stored.
Data minimization
FHIR-first, data minimization. We only pull the encounter artifacts needed to validate a line (notes, labs, meds, imaging) plus claims context when provided. No long-lived copies or shadow data stores. Evidence is retained only as long as your audit/records policy and BAA require.

Regulatory-ready by design

Built to withstand CMS scrutiny and support internal compliance reviews.

Evidence-first

No MEAT → no draft. We store the exact spans we used for audit.

Line-level audit pack

Each drafted line carries its proof window for review.

CMS/RADV-ready checks

Continuity, signatures, and current‑year support are verified before draft.

Note: We support client policies for payer/CMS audit response workflows.

30‑day Pilot

Ingest encounters (notes + labs/imaging/meds). In 30 days we show faster drafts, higher CMS‑ready rates, RAF uplift, and modeled revenue impact.

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Procurement-ready with Carahsoft

Skip the sourcing cycles. SynchroLink AI is ready through Carahsoft for public sector, provider groups, and complex delivery networks.

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