Evidence-first automation that protects the revenue you’ve already earned
We help healthcare organizations protect the revenue they’ve already earned before it slips away. Our platform is built for risk-bearing entities: Accountable Care Organizations (ACOs), Management Services Organizations (MSOs), provider groups, and health plans. We focus on the most financially vulnerable moments in the claim lifecycle: before submission, before risk scores lock, and before denials repeat.
SynchroLink AI pulls structured and unstructured clinical data — notes, labs, meds, vitals, imaging — and turns it into audit-ready, risk-adjusted draft claim lines. Coders work from calm, AI-prioritized queues where every suggestion is backed by MEAT (Monitor, Evaluate, Assess, Treat) evidence. The interface drops directly into your current workflow. No changes to your EHR. No new systems for clinicians. Just fast, defensible coding.
We apply three layers of business-prioritized automation so leaders see measurable impact in under 30 days.
Risk adjustment support
We detect missing or under-documented HCCs before scores lock, surface evidence directly from the chart, and keep coders and clinicians in sync with ethical guardrails.
- MEAT gates ensure no draft ships without compliant evidence.
- Risk gaps surface at the right moment with the note, lab, vital, or imaging attached.
- Pilot metrics show RAF lift down to the provider and panel level in 30 days.
Denial prevention
We learn from your 835 remittance data to stop the next denial before it happens — from CARC 97 bundling issues to CO-16 content errors.
- Modifier, POS, and timing conflicts are blocked per payer before submission.
- Worklists stay calm with ownership, SLAs, and payer context built in.
- Denial reasons convert into prevention nudges inside the drafting experience.
Underpayment detection
Not every payer shortfall shows up as a denial. We flag severity downgrades and bundled underpayments before they become systemic.
- Line-level evidence windows are stored for audit so compliance stays confident.
- ERA patterns expose stealth underpayments that legacy tools miss.
- Revenue leaders see dollars captured, not just scores, within the first month.
Compliance and visibility without the noise
Every code suggestion has a built-in MEAT gate, and every draft maintains a full audit trail. Your compliance teams can review line-level evidence windows, while revenue leaders get a live view of claim health, RAF trajectory, and denial risk across the organization. We don’t drown teams in dashboards—we operationalize insights at the point of drafting so dollars move faster.
The result: cleaner claims, fewer disputes, and revenue that actually matches the care your teams deliver.
Trusted playbooks and proof points
New Insights: The Market Shift Risk-Bearing Orgs Need to React To
ACO REACH turbulence, payer reimbursement drift, and real-time CMS clawbacks are reshaping RAF economics. Here’s how to stay ahead before the dollars disappear.
Hidden Revenue Risks in Value-Based Care: What Your Denials and RAF Scores Aren’t Telling You
Stealth underpayments, missed HCCs, and RAF drift are eroding value-based performance. Here’s how high-performing networks plug the leaks before claims leave the building.
RAF Best Practices: A Year-Round Checklist for Chronic Condition Support
Use this quarterly framework to ensure chronic conditions stay supported, documented, and defensible across the entire performance year.