RevMaxx RADV Intelligence helps Value-Based Care organizations review patient charts for risk-adjustment accuracy, documentation gaps, HCC opportunities, and potential RADV compliance risks — before they become costly problems.
supported conditions that may have been missed
diagnoses that may not be adequately supported
Find supported conditions that may be missed.
Identify diagnoses that may not be supported
Intelligent analysis for charts at scale.
Better documentation & audit rediness.
The Problem
Risk adjustment is not simply about finding more HCCs. A diagnosis needs appropriate clinical documentation and support.At the same time, organizations can lose revenue when clinically supported conditions are documented in the chart but never captured.
RevMaxx addresses both sides of the equation.
Without RevMaxx, organizations may face:
Supported conditions may exist in the chart but never make it into the risk-adjustment.
Diagnoses may be present without enough evidence of current evaluation or management.
Submitted diagnoses that aren't adequately supported can create audit and repayment risk.
Compliance and coding teams spend significant time manually reviewing charts one by one.
RevMaxx doesn’t simply ask:
“What HCCs are we missing?”
RevMaxx also asks:
“Can we defend the diagnoses we’re submitting?”
Find supported conditions that may have been missed.
RevMaxx reviews the chart for clinically supported conditions that could represent legitimate risk-adjustment opportunities.
Identify diagnoses that may not be adequately supported.
RevMaxx examines the documentation behind submitted conditions and highlights potential compliance concerns for human review.
More complete documentation + stronger audit readiness + better risk-adjustment integrity.
RevMaxx RADV Intelligence is designed for organizations managing risk across large patient populations.
Understand documentation gaps and receive concise feedback.
Identify potential HCC opportunities and documentation concerns.
Prioritize high-risk charts and strengthen audit preparedness.
Monitor organizational compliance, risk-adjustment opportunities, and trends.
The underlying platform is designed around these organizational roles and workflows, including providers, compliance reviewers, organization administrators, and auditors.
See What Matters. Act on What Needs Attention.
RevMaxx reviews charts and turns complex clinical documentation into clear, actionable insights.
Your source specifically frames the platform around documentation completeness, HCC capture compliance, coding accuracy, quality performance, and audit readiness.
Identify potential missed conditions and review whether submitted diagnoses are supported by the record.
Spot missing specificity, incomplete assessments, and documentation gaps that may affect compliance.
Evaluate whether the chart demonstrates appropriate evidence of monitoring, evaluation, assessment, or treatment.
Surface potentially unsupported diagnoses, contradictory documentation, and other issues that may require attention.
Identify documentation opportunities that can support stronger quality and value-based care performance.
Capture what’s supported. Defend what’s submitted. Scale your risk-adjustment accuracy with flexible enterprise plans.
Ideal for mid-sized ACOs, physician groups, and risk-bearing entities.
Targeted for regional health plans and Medicare Advantage networks.
Built for large enterprise health systems and high-volume MA plans.
With RevMaxx RADV Intelligence, organizations can approach both together.
Identify supported opportunities. Surface documentation gaps. Strengthen RADV readiness.
Capture What’s Supported. Defend What’s Submitted.
AZ Cardiology
RevMaxx is empowering us to alleviate the documentation burden, deliver exceptional patient care, and make good on our promise to prioritize clinician well-being.
Advantage HCS LLC
RevMaxx is committed to holistic wellness. This partnership enables us to overcome the hurdles we faced with other AI tools and adopt technology that is cost-effective, sustainable, and beneficial to…
The WISH Clinic
RevMaxx is a game changer in my practice – increases coding accuracy and reduces EHR user fatigue and clinician burnout. Their NLP Generative AI cloud based software records and listens AND scribes pa…