Turn Patient Data into Actionable Intelligence
Our AI platform automates HCC & E/M coding, ensures audit-readiness, and provides instant, evidence-based answers from all your clinical documents.
A Complete Medical Intelligence Platform
MedChartScan is an advanced AI solution that transforms your entire risk adjustment, revenue integrity, and compliance workflow.
Accurate Risk Adjustment
Our core AI engine surfaces every billable HCC code from all patient data, unstructured or not, to ensure your RAF scores are complete and accurate.
Complete Revenue Integrity
Leverage our rule-driven E/M module to assign the most defensible code, maximizing billing accuracy while eliminating denial and takeback risks.
Total Audit Defense
Face any RADV audit with confidence using our transparency module, which creates an unbreakable link between every claim and its clinical proof.
A Simple, Shared Source of Truth
Our platform creates an unbreakable link between every diagnosis, claim, and medical record, giving providers and health plans a shared source of truth for risk adjustment.
Claim Submitted
A claim with an HCC diagnosis is sent through your standard billing process.
Evidence Linked
MedChartScan automatically attaches the accepted AI suggestion and the supporting clinical documentation from the patient's chart.
Instantly Verifiable
Both the provider and the contracted health plan can view the claim and its supporting evidence in a secure, auditable log.
Ready for Any Audit, Anytime.
Streamline payer collaboration and face RADV audits with a complete, on-demand record for every single HCC-related claim.
Automated Audit Trails
Automatically link every accepted AI suggestion to the submitted claim and the specific medical record evidence.
Payer Collaboration Portal
Grant health plans secure, read-only access to verify claims, dramatically reducing disputes and manual record requests.
On-Demand Proof
When an audit letter arrives, instantly generate a comprehensive package of documentation for the requested claims. No more manual chart chasing.
Full AI Transparency
Move beyond the 'black box.' See exactly why the AI made a suggestion and which evidence supports it, building trust for providers and payers alike.
Automate E/M Coding with Audit-Proof Precision
Our new AI-powered engine analyzes clinical documentation to assign the most accurate E/M code, maximizing revenue while eliminating denial risk.
Maximize Billing Accuracy
Utilize a rule-driven system to select the most accurate E/M code based on MDM or Total Time, ensuring you bill correctly every time.
Uncover Unrealized Revenue
Identify missed revenue opportunities where documentation supports a higher level of service, turning compliance into a revenue-positive activity.
Eliminate Denial Risk
Apply strict Anti-Overcoding Guardrails to produce audit-proof, defensible coding that stands up to payer scrutiny.
Enforce Documentation Integrity
Receive actionable recommendations to improve clinical documentation, reducing ambiguity and strengthening your entire revenue cycle.
Key Capabilities of Our AI Platform
Our platform is built with advanced medical intelligence for risk adjustment, developed in collaboration with practicing specialists to ensure the highest accuracy in HCC code detection.
Instant HCC Detection
Automatically detect all billable HCC codes, even those buried deep in physician notes and unstructured data.
Learn how it worksAI Chat & Search
Ask questions in natural language and get instant, evidence-grounded answers from any clinical document.
Audit-Ready Documentation
Hyperlink every code back to the exact sentence in the source file, creating a transparent and defensible audit trail.
Business Impact of AI Risk Adjustment
By transforming your Medicare risk adjustment strategy, MedChartScan delivers tangible results. Enhance financial performance through accurate RAF score optimization, strengthen compliance, and streamline your coding operations.
Increased Profitability
Significantly increase RAF revenue by capturing every billable diagnosis.
Audit Protection
One-click export of every source link for streamlined audits.
Operational Efficiency
Reduce manual review time by up to 90%.
Transparent Pricing That Grows with You
Predictable per-member rates for our core HCC platform. Our E/M Coding and Audit & Transparency modules are available as powerful add-ons. Contact us for a custom quote.
1 – 5,000 Members
(~$1.11 per member)
Perfect for small clinics and new practices.
*Includes up to 50,000 pages/mo
5,001 – 10,000 Members
(~$0.75 per member)
Ideal for growing healthcare organizations.
*Includes up to 100,000 pages/mo
10,001 – 15,000 Members
(~$0.63 per member)
Our most popular plan for established networks.
*Includes up to 150,000 pages/mo
15,001 – 25,000 Members
(~$0.53 per member)
Comprehensive features for large-scale operations.
*Includes up to 250,000 pages/mo
25,001 – 40,000 Members
(~$0.48 per member)
Advanced solutions for major healthcare systems.
*Includes up to 400,000 pages/mo
40,001+ Members
Custom Pricing
Fully customized solutions for enterprise needs.
*Custom page limits
Trusted by Leading Healthcare Innovators
See how MedChartScan is helping organizations like yours drive profitability and efficiency.
"MedChartScan increased our RAF accuracy by 25% in the first quarter. The AI's precision is a game-changer, saving our team hundreds of hours."
Chief Medical Officer
Mid-Sized Health Plan
"We tripled our coding productivity within a month. The audit-ready documentation and seamless EHR integration transformed our workflow. An essential tool for risk adjustment."
Director of Revenue Cycle
Primary Care Physicians Group
"MedChartScan allowed us to double our client capacity without doubling our headcount. It's the core of our tech stack and our competitive advantage."
CEO
National Risk Adjustment Partner
Latest Insights & Analysis
Stay informed with our expert analysis on AI in healthcare, risk adjustment strategies, and industry updates.
Onboard in as Little as 2 Weeks
You'll get a dedicated onboarding team to ensure a seamless transition with 24/7 HIPAA-compliant support.
Kickoff & Discovery
We work with you to align on your specific goals and technical requirements.
Painless Integration
Your team gets full training as we seamlessly connect MedChartScan to your existing EHR.
Go-Live & Ongoing Support
You go live in days, backed by our dedicated, 24/7 support team.
Frequently Asked Questions
Have questions? We've got answers. If you don't see your question here, feel free to contact us.
Schedule Your Live Demo
Pick a time that works for you. See our AI in action and discover how you can boost productivity, improve RAF accuracy, and drive revenue.
New: Ask to see our Audit & Transparency Module to learn how we make you audit-proof.
