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Solutions

Built for the future of value-based care.

Five solutions for value-based care. One intelligence layer underneath all of them.

Risk Adj.

Compliance

HEDIS

Pop. Health

Coaching

Risk Adjustment

Data aggregation and chart prep.

Missing HCC codes and thin documentation erode RAF accuracy long after a claim is filed. DoctusTech's AI agents pull evidence directly from claims, charts, and scanned records, rank it by RAF value and recency, and surface Medicare Advantage and Medicaid risk adjustment opportunities before submission, so coding and revenue integrity move together instead of being reconciled after the fact.

Data Aggregation

Existing-condition gap tracking Net-new suspect conditions Claims, MOR and HIE data pass-through

Chart Prep

Real-time EMR prompts Evidence from claims & charts Native EMR write-back

Compliance and Audit Readiness

Documentation integrity and claims adjudication.

RADV standards are typically applied after submission, against a hand-reviewed sample. The agent holds every note to those standards before the claim goes out, then follows it through to payer acceptance and flags any leakage.

Claims Adjudication

Submission to acceptance tracking Payer rejection and denial flagging RAF leakage detection

Documentation Integrity

Pre-bill RADV standard validation MEAT criteria compliance checks Coding accuracy verification

HEDIS & Quality Improvement

Automate HEDIS supplementals.

An open HEDIS gap is one of two things: evidence that already exists, scattered across charts, faxes, and specialist records, or care that has not happened yet. The HEDIS Agent chart chases, abstracts, and builds the payer-specific supplemental for the first. For the second, it engages the patient directly and gets the visit scheduled.

Evidence Gaps

Chart chasing across faxes and specialists Evidence-to-measure abstraction Payer-specific supplemental files

True Care Gaps

Member-level gap prioritization Direct patient outreach Follow-up visit scheduling

Population Health Analytics

Chat with your data. Get a VBC analyst answer.

Ask in plain language: specialty leakage last quarter, hospital utilization by facility, medication cost across an attributed panel. KIP already knows what those terms mean in value-based care, so the answer that comes back is the one a trained analyst would have given you. No ticket, no queue.

Ask The Follow-Up Question

Why did this number move Which patients are behind it What changed since last month

How Deep You Can Go

Whole population One clinic or one panel A single patient

Clinician Education

Individual coaching, based on their own notes.

Documentation patterns vary by clinician. The agent identifies whose notes show it, assigns education and measures whether the pattern changes.

Targeted Coaching

Provider-level pattern detection Education matched to the specific gap Feedback linked to the note

Measured Improvement

Pre and post documentation change Provider-level progress tracking Group and specialty-level trends

Tell us where your team is losing the most time, and we'll show you where to start.

HIPAA-eligible architecture. SOC2 Type II certified.

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