AI-powered RADV intelligence for stronger risk adjustment, better documentation, and audit readiness.
Keizer RADV Chart Review helps Medicare Advantage plans, ACOs, and risk-bearing organizations analyze patient charts for missed HCC opportunities, documentation gaps, coding concerns, and potential RADV exposure—before they become costly problems.
THE PROBLEM
The Problem With Traditional Chart Review
Manual review makes it difficult to scale risk-adjustment accuracy across large patient populations.
Organizations may face:
Clinically supported conditions may exist in the chart but never make it into the risk-adjustment submission.
Diagnoses may be present without sufficient evidence of current evaluation or management.
Unsupported or inadequately documented diagnoses can create audit and repayment risk.
Coding and compliance teams spend significant time reviewing charts one by one.
Risk adjustment isn’t about capturing more diagnoses. It’s about capturing what is clinically supported and defending what is submitted.
Keizer brings both sides of the equation into one intelligent workflow.
Find supported conditions that may have been missed.
AI analyzes clinical documentation to identify conditions that may represent legitimate risk-adjustment opportunities but were not captured.
Identify diagnoses that may not be adequately supported.
AI examines the documentation behind submitted conditions and surfaces potential compliance concerns for expert review.
Documentation Review
See what matters. Act on what needs attention.
Keizer transforms complex clinical documentation into prioritized, actionable insights.
Identify potential missed conditions and assess whether submitted diagnoses are supported by the record.
Surface missing specificity, incomplete assessments, and documentation gaps.
Evaluate evidence of Monitoring, Evaluation, Assessment, and Treatment within the chart.
Flag potentially unsupported diagnoses, conflicting documentation, and other issues requiring review.
Surface documentation opportunities that can support stronger quality and value-based care performance.
Receive concise actionable insights into documentation gaps and opportunities.
Identify potential HCC opportunities and documentation concerns faster.
Prioritize higher-risk charts and strengthen proactive audit preparedness.
Gain visibility into risk-adjustment opportunities, compliance trends and performance.
Stay Ahead of Gaps. Stay Ready for Audits.
RevMaxx continuously identifies documentation gaps, compliance risks, and high-priority charts—helping teams take action before audit pressure arrives.
Turn chart review into ongoing visibility across documentation completeness, HCC accuracy, MEAT compliance, risk detection, and RADV preparedness.
AI reviews clinical documentation at scale.
Surface missed opportunities and potential compliance risks.
Focus human reviewers on the charts and findings that matter most.
Experts review the supporting clinical evidence.
Turn findings into better documentation, coding, and provider feedback.
Build stronger support for submitted diagnoses and ongoing RADV readiness.
Capture what’s supported. Defend what’s submitted. Scale your risk-adjustment accuracy with flexible enterprise plans.
Ideal for mid-sized ACOs, physician groups, and risk-bearing entities.
Targeted for regional health plans and Medicare Advantage networks.
Built for large enterprise health systems and high-volume MA plans.
