AI-Driven Risk Adjustment. Faster, Easier, Smarter.
Accurate risk adjustment requires more than scanning codes or sampling charts. Keebler applies clinical reasoning across all data types—structured and unstructured—to build a whole-patient record. The result is RAF scores that reflect true patient complexity, with source-linked evidence that stands up to any audit.
AI Risk Adjustment
Smarter RAF Capture With AI-Driven Reasoning
Accurate risk adjustment requires more than scanning codes or sampling charts. Keebler applies clinical reasoning across all data types—structured and unstructured—to build a whole-patient record. The result is RAF scores that reflect true patient complexity, with source-linked evidence that stands up to any audit.
All Data, No Gaps
Structured + 80% unstructured.
Whole Patient History
Not a sample, but the entire record.
Reasoning Layer
Goes beyond machine learning.
Audit-Ready
Every capture backed by source evidence.
Comprehensive Record Capture
From Fragments to a Full Patient Story
Structured EHR fields capture some of the story, but critical details hide in faxes, PDFs, consult notes, and scanned reports. Traditional HIEs connect pieces, but rarely tell the whole story. And when data is aggregated, fidelity often gets lost— resulting in codes without context and diagnoses without proof.
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Functions as a “HIE of HIEs”—bringing together fragments into one source of truth.
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Days, Not Months—Speed of implementation proven at scale.
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Beyond the EHR—Pulls in faxes, consults, PDFs, scanned notes.
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Unified View—Gap-free, trusted patient record.
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Scalable—From single EHR to national data streams.
Accurate, Audit-Ready HCC Coding
Every code backed by source evidence.
Traditional coding often misses diagnoses buried in unstructured data or forces teams to rely on spreadsheets and offshore vendors. Keebler does it differently. By reviewing the entire patient history and uncovering every HCC opportunity with linked source evidence, we help you capture risk accurately, compliantly, and without the manual grind. The result: higher RAF accuracy, protected revenue, and audit-proof confidence.
- Global Recapture—Identifies missed HCCs across populations.
- Audit-Proof—Each RAF lift linked to source evidence.
- Out with the Old Inputs— Ditch Excel sheets + offshore coding.
- Revenue Protected—Accurate RAF scores, fair reimbursement.
Chart Review That Works the Way You Do
Smarter automation surfaces the right insights, so reviews are faster, clearer, and audit-ready.
Chart review has long been one of the most time-consuming, frustrating workflows in healthcare. Keebler lightens the load by automating ingestion, surfacing the insights that matter, and delivering them directly into clinician workflows. No more digging through hundreds of pages—just clear, verifiable highlights that speed decisions, reduce burnout, and enable clinicians to focus on care.
- Workflow-Focused—Designed around how clinicians actually work.
- Buried Data, Found—Uncovers hidden signals in unstructured notes.
- Navigator + Prep Support—Flags what really needs attention and helps navigators hand off to clinicians seamlessly.
- Clean Handoffs—Smooth transition between “knowers” (reviewers) and “doers” (clinicians).
- Trusted Insights—Easy verification with highlightable sources.
- Feedback Loop—Track what was acted on (and what wasn’t) to spot training opportunities and improve performance.
Clinical Decision Support
Less noise, more clarity—trusted signals that reduce burden and inform decisions.
Beyond risk adjustment, Keebler empowers clinicians in real time with insights that guide care decisions. By surfacing relevant risk signals and patient trends directly in workflow, providers get actionable intelligence that helps improve outcomes while reducing burden.
- Embedded in Workflow—Insights where clinicians already work.
- Predictive Signals—Flag rising risk before it escalates.
- Whole-Patient Context—Structured + unstructured data in one view.
- Clinician-Friendly—Actionable, trusted insights—not noise
CMS-HCC Model V28
Confidently navigate V28 with accurate RAF scores, audit-ready evidence, and seamless adaptation.
The shift to CMS-HCC V28 raises the bar for accuracy, compliance, and transparency. Keebler equips you to meet that challenge head-on by capturing all relevant conditions and adapting seamlessly to the new model. The result: confidence in RAF accuracy and resilience against regulatory changes.
- Future-Proofed—Built to handle HCC model updates out of the box.
- All Data, No Gaps—Surfaces conditions in structured + unstructured data.
- Audit-Ready—Linked source evidence for every HCC.
- Compliant and Current—Keeps you aligned with CMS requirements.
RADV Confidence Starts With Keebler.
Be ready before the audit begins with comprehensive records, compliant coding, and verifiable evidence.
RADV audits are rigorous, and organizations often struggle to defend RAF accuracy under pressure. Keebler simplifies the process by providing source-linked documentation for every captured HCC, ensuring you can stand behind your risk scores with confidence.
- Audit-Proof Records—Each RAF lift linked to source documentation.
- Global Recapture—No missed codes = stronger defense position.
- Confidence Under Scrutiny—Evidence built directly into the workflow.
- Protect Revenue—Reduce clawbacks with verifiable documentation.
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