AI-Driven Risk Adjustment with RADV Protection.
Continuous risk adjustment powered by full clinical data — with automated documentation validation and RADV protection built in.
- Nightly patient-level re-evaluation
- Full clinical evidence (notes, labs, meds — not claims-only logic)
- Built-in pre-submission audit risk flagging
- System-verified closure across provider and billing workflows
Siloed across workflows and departments.
Built for ACOs • Provider Groups • Health Plans
Product modules
Start with the module that matches your immediate objective. Each module includes patient-level drilldowns and exports.
Surface likely-positive conditions, close documentation gaps, and support defensible HCC capture.
Audit readiness with diagnosis-level validation and RADV exposure simulation.
Identify avoidable cost drivers with cohort filters, drilldowns, and initiative simulators.
Route next steps and confirm remediation happened (documentation updated, billing corrected, or follow-up scheduled) before closing the loop.
How it works
Burse continuously identifies patients who need action and drives verified resolution across documentation, billing, and care delivery.
“Verified” means the change is confirmed in the originating workflow (EHR documentation, billing/coding system, or scheduling).
“In a 25-patient evaluation, an initial review was completed by a certified coder and an independent peer reviewer. The Numeracy Group’s AI then performed a third-pass analysis, identifying multiple documentation integrity issues, missed billing opportunities, and additional documentation and coding needed to support revenue capture. Every AI-identified finding was confirmed as correct.”— Coding Lead, Large Southwest Provider Group
Let’s talk
Curious about pilots or rollout? Email us and we’ll respond quickly.