Evidence-first documentation control that protects defensible revenue
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 outside records — and turns it into audit-ready documentation decisions. CDI teams, coders, and providers see the right evidence at the right point in the workflow. No changes to your EHR. No new systems for clinicians. Just faster, more defensible documentation control.
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.
- Unsupported diagnoses stay out of release until evidence and documentation are defensible.
- 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.
- Diagnosis-level audit packets 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 supported diagnosis keeps a clear evidence trail. Your compliance teams can review source context, while revenue leaders get a live view of documentation readiness, RAF trajectory, and audit exposure across the organization. We don’t drown teams in dashboards—we operationalize insights where the work can still change.
The result: cleaner submissions, fewer disputes, and revenue that actually matches the care your teams deliver.
Trusted playbooks and proof points
Prospective vs. Retrospective Coding: Why Timing Matters in Risk Adjustment
Retrospective review can find missed opportunities, but late chart chasing creates provider burden and audit exposure. The safer model uses retrospective findings to prepare the next appropriate visit, resolve recent gaps through CDI, and capture supported RAF documentation while the clinical context is fresh.
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.