Every diagnosis needs a page behind it. Most reviews don't show one.
HCC risk adjustment chart review services abstract the supported diagnoses from a retrospective chart set and cite the page documenting each one. Codes with no supporting documentation are flagged rather than suggested, so the encounter submission your coders build rests on evidence that survives an audit.
The coding rules are published. So is the auditor who applies them.
We do not build for a case type until we can name the standard that defines a correct output and the person who grades the file against it. In risk adjustment, both are already published.
3 steps between the charts and the submission.
Send the chart set
The retrospective charts as you hold them — EHR exports, scanned encounter notes, specialist consults — in any format and any order.
We return the review, page-cited
Every diagnosis the documentation supports, with the page showing it was monitored, evaluated, assessed or treated, and every unsupported code flagged in its own line.
Your coders decide
Coding assignment and the submission decision, adds and deletes alike, stay with your certified coders and compliance team.
Evidence for the coder, not a code on the claim.
We abstract and cite what each chart documents, in both directions: diagnoses the record supports and codes the record does not. We do not assign codes, submit encounter data, or certify a diagnosis as compliant. Those are your certified coders' and compliance team's determinations.
Flagging unsupported codes is not an optional module. A retrospective review that only ever adds is the pattern regulators look for, and a review that cites its evidence in both directions is the one that holds up.
The rules the platform never breaks.
EVERY LINE CITED
HIPAA, under a signed BAA
Every file is handled under our Business Associate Agreement, from the first byte.
Never trains a model
Your records are never used to train any AI model — ours or anyone else's.
Every line cited
If we can't cite it, we don't say it. Every sentence links to its source page.
Deleted on request
Retention is configurable and deletion is on request, with a full audit log of every access.
6 capabilities behind every chart review.
The chart review is one deliverable of the same platform that reads, sorts, and cites the whole record.
Medical Records OCR
Every chart read in full — EHR exports, scanned consults, handwritten encounter forms — nothing skipped, nothing guessed.
Medical Chronology
Each patient's encounters build into a timeline, so a chronic condition's documentation across the year is visible at once.
Verifiable AI Citations
If we can't cite it, we don't say it. Every supported diagnosis links to the page showing it was addressed.
Medical Summary Reports
The review formats straight into the coding workflow — your template, your letterhead.
Medical Record Deduplication
Retrospective chart sets often pull the same encounter from more than 1 source system across the measurement year. Duplicate pages are matched, confidence-scored, and collapsed to one canonical record, so a diagnosis isn't abstracted twice.
Missing Records Identification
The diagnosis and encounter history already documented in the chart is checked against what was actually submitted, so a referenced encounter or result that a code needs but the file doesn't contain gets flagged before it reaches your coders.
HCC risk adjustment review, answered.
Send 1 file. We'll tell you what we can read.
No obligation. If the case type is buildable we'll scope it; if it isn't, we'll say so.
Sources
Every rule, regulation, statute and published standard named on this page is linked below to the text the body that issues it puts out, read on the date shown. Where a standard is sold rather than published, the link goes to its publisher's page for it. A few rules are named without a link, because no source we could read and confirm publishes them.
- Medicare Advantage Risk Adjustment Data Validation Program — CMS, read 26 Sep 2026
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