Product — Revenue Capture
Optimize reimbursement by identifying clinically present conditions, closing documentation gaps, and ensuring defensible HCC capture.
Systemic safeguards to support defensible billing.
What Burse finds
- Clinically present conditions that are properly documented but missed in billing
- Conditions that exist but are not sufficiently documented to support billing
- Longitudinal signals suggesting conditions that require provider assessment (e.g., temporal patterns)
- Carry-forward opportunities from prior years when evidence supports persistence but no current-year attachment exists
How teams act
- Evidence-first drilldown to notes, nursing assessments, meds, labs, and claims
- Guidance for MEAT-aligned documentation where required
- Prioritization by value, confidence, and clinical support
- Workflow handoff to provider documentation, billing correction, or visit scheduling