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 audit exposure compounds.
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.
CMS/RADV readiness
We apply deterministic, CMS-aligned checks so only defensible diagnoses move forward.
- Suppression protects against unsupported or high‑risk diagnoses.
- Audit failure reason codes show exactly what CMS would request.
- Line-level audit packs store evidence, provenance, and signatures.
Redocumentation & continuity
We keep chronic conditions current-year compliant and recaptured on time.
- Prior-year HCCs feed a focused redoc queue.
- Encounter timelines show continuity at a glance.
- Leaders see RAF lift and modeled revenue impact by cohort.
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 audit exposure 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 submissions, fewer disputes, and revenue that actually matches the care your teams deliver.
Trusted playbooks and proof points
Redocumentation & Continuity Recapture: The Missing Link in Audit‑Ready RAF
Audit‑ready RAF depends on current‑year support, not last year’s documentation. Redocumentation and continuity recapture make that support visible before submission.
Why Suppression Is a Feature (Not Lost Revenue)
In risk adjustment, the most expensive mistake is submitting a diagnosis that does not hold up. Suppression protects RAF defensibility without slowing teams down.
CMS‑HCC V28 Recapture Playbook: What Must Be Re‑documented Each Year
V28 makes annual recapture non‑negotiable. This playbook shows what must be re‑documented each year and how to keep RAF stable without burdening providers.