1 best record per sampled condition. Thousands of charts to find it in.
CMS RADV audit response services read every candidate chart for each sampled HCC and identify the one record that best supports it under CMS reviewer guidance. Each selection is page-cited to the signature, the date of service, and the diagnostic statement, so the submission is checkable before it goes.
The reviewer guidance is published. So is the clock.
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 RADV audits, both are already published.
3 steps between the sample and the submission.
Send the sample and the charts
The CMS sample list plus every candidate chart for each enrollee-HCC pair, in any format and any order.
We return the selection, page-cited
For each sampled HCC, the record that best meets the reviewer guidance, with the date of service, provider type, signature and diagnostic statement each cited to its page.
Your team submits
Coding leadership reviews the selection and makes the submission. We never submit to CMS, code a diagnosis, or certify a record as compliant.
A selection from your charts, not a submission on your behalf.
We read the candidate charts and identify, with citations, the record that best matches the CMS reviewer guidance for each sampled HCC. We do not code diagnoses, certify a record as audit-compliant, submit anything to CMS, or estimate an error rate. Those stay with your coding and compliance leadership.
Where no candidate chart meets the guidance, we say so rather than submitting the least-bad option. A sample with no qualifying record is information your compliance team needs before the window closes, not after.
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 after delivery
Files are deleted 30 days after delivery, with a full audit log of every access.
4 capabilities behind every record selection.
The record selection is 1 deliverable of the same platform that reads, sorts, and cites the whole record.
Medical Records OCR
Every candidate chart read in full — EHR exports, scanned encounter forms, handwritten signatures and credentials — nothing skipped, nothing guessed.
Medical Chronology
Each enrollee's encounters build into one timeline, so the qualifying date of service is found rather than hunted.
Verifiable AI Citations
If we can't cite it, we don't say it. Every selected record links to the page carrying the signature and the diagnostic statement.
Medical Summary Reports
The selection formats straight into the submission workbook — your template, your letterhead.
RADV audit response, 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.