Three connected capabilities. One risk adjustment workflow.
Burse™ combines AI-enabled condition discovery, documentation integrity review, and accountable workflow in a complete risk adjustment solution, from longitudinal evidence to verified resolution. It can also work alongside existing opportunity sources when a health plan needs that approach.
Find Conditions
Use AI-enabled longitudinal analysis across clinical and operational data to identify clinically supported condition opportunities. Burse™ can serve as the primary discovery engine or add findings to an existing program when needed.
See Missed Condition DiscoveryDocumentation 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 ReviewRoute EHR task for provider documentation review.
Drive Resolution
Move Burse™-identified opportunities through one accountable workflow with clear ownership, next actions, progress tracking, and verified closure. Eligible findings from other sources can enter the same workflow.
View Workflow RoutingAlready working with a risk adjustment vendor? Burse™ can independently identify additional opportunities while preserving your existing sources and bringing eligible findings into one accountable workflow.
Explore working alongside your current programHealthcare AI has to understand the work, not just the data.
Risk adjustment spans clinical evidence, coding, provider follow-up, and operations. Burse™ connects condition discovery and documentation review to the people and next actions needed for resolution. When a health plan has other opportunity sources, eligible findings can enter the same accountable workflow.
Connect condition opportunities to clinical evidence and documentation review so teams can understand why each finding matters.
Assign the next action and create accountability across providers, coding, scheduling, and operations.
Maintain supporting evidence, review decisions, ownership, routing, status, and closure history throughout the process.
See how Burse™ fits your workflow.
Review how Burse™ would find conditions, route the next action, and verify closure across your population.