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A FORCE MULTIPLIER FOR YOUR RISK ADJUSTMENT PROGRAM

Find Missed Conditions. Strengthen Documentation. Drive Resolution.

Burse™ adds independent condition discovery and documentation integrity review to your existing risk adjustment program, then moves eligible findings through one accountable workflow to verified closure.

Keep what already works
Add Burse™ clinical intelligence
One workflow to verified closure
Request a demoExplore Deployment Options
Burse™ command center
Find→Route→Close
Live workflow
Open opportunity value
$45M
population-level estimate
Closure rate
verified closure
Avg. cycle time
12d
signal to closure
Opportunity worklist
2 active
Missed Condition
M. Alvarez
94%
Diabetes w/ complication
Owner: Scheduling Team
Documentation Integrity
R. Chen
95%
COPD
Owner: Provider
R. Chen resolution path
Stage 2 of 4
✓
Find
ProviderReview
DocumentationConfirmed
Closed
Selected opportunity
R. Chen
COPD · Documentation integrity
95%
Status: Evidence supports COPD; documentation incomplete.
Next action: Provider to confirm and update Epic.
Product

Three connected capabilities. One operating workflow.

Burse™ adds condition discovery, documentation integrity review, and accountable workflow to the risk adjustment program already in place—or brings all three together as a complete operating platform.

Condition discovery

Find Conditions

Analyze longitudinal clinical and operational data to identify clinically supported condition opportunities that can supplement existing vendor and internal findings—or support Burse™ as the primary discovery engine.

See Missed Condition Discovery
Longitudinal signal map
24 months of evidence → qualified condition opportunities
Evidence synthesis
Notessignal
Labssignal
Medssignal
Claimssignal
Schedulingsignal
Problem listsignal
→
Opportunities meeting the ≥92% threshold
≥92% only
Suspected CKD
96%
Longitudinal evidence supports CKD identification.
CHF carry-forward review
94%
Current-year CHF re-address identified.
Diabetes complication
93%
Clinical evidence supports diabetes with complication.
Documentation integrity review

Documentation Integrity

Evaluate diagnosis-level evidence, MEAT support, specificity, conflicting documentation, and defensibility so teams can determine whether and how Burse™-reviewed opportunities should move forward.

See Documentation Review
Evidence + MEAT review
Defensibility before capture
Condition
Diabetes with complication
Recommended action

Route EHR task for provider documentation review.

Evidence
Strong
Medication + lab trend + assessment note
MEAT
Partial
Monitor and treatment present; assessment incomplete
Risk
Open
Capture not defensible without current documentation
Accountable workflow

Drive Resolution

Bring eligible actionable findings from Burse™, existing vendors, and internal teams into one accountable workflow. Assign ownership, coordinate next actions, monitor progress, and retain evidence of verified closure.

View Workflow Routing
Resolution board
Every eligible opportunity has an owner
18 in motion
Scheduler
6
Outreach needed
Due today
Visit scheduled
Confirmed
Provider
7
Document current status
In progress
Address MEAT support
Due today
Coder
3
Review ICD specificity
In review
Select capture path
Queued
Ops
2
Escalate overdue
2 overdue
Closure proof
Verified
Built by operators

Healthcare AI has to understand the work, not just the data.

Risk adjustment rarely lives in one system or one team. Opportunities may originate with vendors, internal analytics, coding teams, or Burse™, then move across providers, scheduling, coding, and operations. Burse™ was built around that reality: one clinically informed operating layer that strengthens what already works and makes the path to closure visible.

Source-Aware Intelligence

Preserve where each finding originated while adding clinical evidence and documentation review where Burse™ contributes.

One Accountable Workflow

Consolidate eligible actionable opportunities, assign the next action, and create accountability across providers, coding, scheduling, and operations.

Proof from Signal to Closure

Maintain source attribution, available supporting evidence, review decisions, ownership, routing, status, and closure history throughout the process.

Request a demo

See how Burse™ fits your workflow.

Review how Burse™ would find conditions, route the next action, and verify closure across your population.

Request a demo