Reduce Audit Risk
Diagnosis-level validation + RADV exposure forecasting — with verified remediation.
Audit defensibility starts with encounter-level evidence — and ends with verified closure.
Diagnosis Validation
MEAT-validated, evidence-first billing
Burse evaluates MEAT at the diagnosis level using full clinical evidence (notes, labs, meds, imaging — not claims-only logic). It separates documentation gaps vs. coding issues and routes the right remediation.
RADV Simulator
Quantify exposure and prioritize fixes
Sampling and scenario simulations estimate RADV-driven exposure, pinpoint high-risk patients/diagnoses, and track corrective actions through verified completion.
- Nightly diagnosis-level re-evaluation as new evidence arrives
- Audit-ready drilldowns to encounter-specific clinical support
- Remediation routed to CDI, coding, or provider workflow as appropriate
- System-verified closure with an auditable trail of what changed and when
Every diagnosis evaluated. Every action verified.