Closed-Loop Resolution
Activate visits, drive MEAT-defensible documentation, validate coding integrity, and verify closure through claim submission—built-in RADV protection.
Burse closes the loop by confirming the fix actually happened in the source workflow — e.g., documentation updated in the note or a billing correction completed — before items leave the worklist.
Burse prevents failure across the handoffs that determine whether a condition becomes reimbursed, defensible revenue.
- Visit activation: turns clinical truth into scheduled encounters (no visit → no claim → no RAF/HCC)
- MEAT defensibility: EHR-ready guidance ensures encounter notes support coded conditions and HCC capture
- Coding integrity: prevents omissions and flags overcoding risk before submission (audit traps, RADV exposure)
- Verified closure: tracks each condition through claim submission and confirms it was captured, accepted, and closed — or why it failed
Deploy automation safely with thresholds, oversight, and an auditable trail—without sacrificing defensibility.
- Review mode → Auto mode: start with human approval, then automate once performance is proven
- Risk-based routing: high-impact or high-audit-risk items default to human review
- Evidence-first workflow: every recommendation ties directly to encounter evidence (notes, labs, meds, vitals, imaging)
- System-verified outcomes: not “task completed”—closure is confirmed by what actually happened downstream
- Auditable trail: who approved what, when, why, and the final billing outcome
Burse is not just a worklist—it’s a closed-loop control system that reduces missed capture and RADV exposure by ensuring actions are completed and outcomes are verified.
“Verified” means the change is confirmed in the originating workflow (EHR documentation, billing/coding system, or scheduling).
Let’s talk
Curious about pilots or rollout? Email us and we’ll respond quickly.