Less Burnout. Better Outcomes.
AI-Powered Solutions for Risk Adjustment
Bridging the gap between payers and providers with real-time insights.
Inferscience brings together elements of clinical intelligence into a unified, AI-powered ecosystem
Our 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:
Achieve Stronger alignment with value based goals
Make more accurate clinical decisions
Improve RAF scores
Explore Our Products
Smarter Solutions for Risk Adjustment Quality and Data Optimization.
Our products work together to transform complex clinical data into actionable insights, reducing administrative burden while improving quality performance and documentation accuracy across your organization.
Intelligent HCC Suggestions
Our NLP analyzes structured notes, unstructured text, and historical data to surface clinically supported HCC codes in real time.
Advanced RAF Optimization
Identify chronic conditions, recapture opportunities, and overlooked diagnoses to strengthen RAF accuracy and boost Medicare Advantage reimbursement.
Real-Time Coding Recommendations
Flags existing and potential HCC conditions directly in the EHR for faster, more accurate decision-making at the point of care.
Improves Documentation Quality
Provides a digital trail showing exactly why a code is suggested, strengthening compliance and audit readiness.
Improve Patient Care
Surface needed labs, screenings, and other gaps so providers can act during the visit.
Increase Quality Scores
Reduce missed gaps by surfacing payer requirements inside the EHR for point-of-care action.
Maximize Funding
Close more gaps accurately and on time to strengthen value-based performance.
Reduce Admin Burnout
Eliminate portal logins & manual reconciliation by bringing care gap data into the EHR.
Unified Patient View
Bring diagnoses, meds, labs, imaging, notes and more into one clear, synthesized snapshot so clinicians don’t have to spend extra time clicking through the EHR.
AI Chatbot
Ask patient-specific questions and receive instant, evidence-informed answers sourced directly from chart data and external documents.
External Records Fusion
Automatically ingest and interpret referrals, hospital reports, and scanned PDFs to ensure the full picture is always available.
Visit Prep Insights
Get a fast, AI-powered overview of what’s clinically relevant for the upcoming visit, reducing prep time and cognitive load.
Real-Time MEAT Validation
Ensure every diagnosis is fully documented before submission, reducing audit risk and strengthening RAF accuracy.
OIG High-Risk Code Detection
Automatically flags ICD-10 codes most likely to trigger scrutiny so plans can correct issues before they become liabilities.
Concurrent Provider Guidance
Delivers instant, actionable recommendations during documentation to help clinicians submit defensible, compliant diagnoses
Audit-Ready Documentation
Generates clear, structured evidence trails that simplify RADV preparation and protect plans from costly recoupments.
EHR Integrations
Inferscience AI solutions integrate seamlessly with your EHR for maximum efficiency
Testimonials
“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