Capture Risk and Close Care Gaps— Right at the Point of Care
Inferscience delivers AI-powered solutions that support real-time risk adjustment and care gap management, reducing administrative burden and improving performance for both health plans and providers.
Built by a physician who understands clinical workflow challenges, our solution integrates directly into the Electronic Health Record (EHR) to surface risk and quality opportunities in real time—enabling more accurate data capture, better outcomes, and stronger provider engagement.
Inferscience Solutions Surface Risk and Quality Gaps— So Your Teams Don’t Have To
Our AI solutions use advanced natural language processing (NLP) and clinical logic to bring together structured and unstructured patient data from the EHR, health information exchanges (HIEs), and claims. This enables your organization to:
- Unify and analyze complete clinical and claims data in real time
- Identify missed diagnoses and open care gaps
- Improve RAF accuracy and support quality performance
- Minimize RADV exposure and audit risk with complete, traceable HCC documentation
- Reduce administrative workload so providers can focus on patient care
How it works
Platform ingests and analyzes clinical data from the patient’s chart, including notes and external sources prior to the encounter and in real-time.
Relevant risk and quality insights are presented in the EHR workflow in real time.
Users can submit codes back to the assessment and plan section of the EHR.
EHR Integrations
Inferscience AI solutions integrate seamlessly with your EHR for maximum efficiency
“In 8 months, our organization has presented more than 269K HCC codes to Providers and Advance Providers. Our coders and 300+ primary care providers find it to be very straightforward and user friendly.”
athenaOne User
Billing Staff, Multispecialty
“Inferscience really speeds up the HCC process. It’s a great tool for providers as well as coding personnel in catching opportunities throughout the entire chart.”
athenaOne User
Administrative Staff, Multispecialty
“It has been a great opportunity to work with the Inferscience program, it is very user friendly. It enhances our accuracy and consistency with the HCC coding and allows us to produce quality service for our providers.”
athenaOne User
Administrative/Clerical Staff, Multispecialty
Inferscience Blog
We have a lot to say! Here is a collection of valuable information on HCC Risk Adjustment Coding, Clinical Decisions Support, healthcare quality, the business of healthcare and clinical issues as well as Inferscience news.
[- June 9, 2026
**$462 Million in Unsupported Payments and PY 2021 RADV on the Calendar: The Audit Signal MA Plans Can’t Ignore**](/content/oig-462-million-acute-stroke-radv-audit-acceleration/index.html)
[- June 3, 2026
**What the Clover STARs Lawsuit Means for Risk Adjustment Workflows**](/content/clover-stars-lawsuit-risk-adjustment-workflows/index.html)
[- May 28, 2026
**Building an Audit-Ready Documentation Culture: From Reactive to Proactive**](/content/audit-ready-documentation-culture-reactive-to-proactive/index.html)
See How Inferscience Supports Smarter Risk and Quality Programs