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iRAS - Intelligent Risk Adjustment Service

In today’s high-stakes value-based care landscape, managed care organizations face mounting audit scrutiny and the risk of costly clawbacks. Defensibility in risk adjustment is no longer a choice- but a strategic imperative to protect revenue, preserve trust and ensure long-term sustainability. That’s why iRAS combines advanced AI with clinical expertise to deliver risk adjustment that’s not only accurate, but defensible by design.

See how iRAS works

For Executives
Executives

Stronger financial performance through defensible, optimized reimbursement.

For Compliance Teams
Compliance Teams

Audit ready from the start. Coding decisions that are traceable, transparent and expert reviewed.

For coders
coders

A streamlined workflow that pairs AI-driven automation with expert validation.

For Providers
Providers

No more alerts you can’t trust. Just meaningful, review-ready insights that free up time for care.

Increase in Code Capture

0%

Increase in Code Capture

Improvement in Code Quality

0x

Improvement in Code Quality

Reduction in Chart Review Effort

0%

Reduction in Chart Review Effort

Improvement in Documentation

0x

Improvement in Documentation

Reduction in Audit Risk

0x

Reduction in Audit Risk

Higher Star Ratings

0★★★★★

Higher Star Ratings

Augmented Intelligence, Operationalized at Scale

Augmented Intelligence, Operationalized at Scale

iRAS combines the speed of advanced AI with the judgment of expert coders—delivering truly augmented intelligence. Every suggestion is backed by human-in-the-loop oversight to ensure accuracy, relevance, and compliance. Our closed-loop engine continuously learns from real-world feedback, improving over time to raise code quality, reduce errors, and ensure every submission meets the highest standards of defensibility.

Compliance-First Design, Purpose-built for Audit Readiness

Compliance-First Design, Purpose-built for Audit Readiness

iRAS is designed from the ground up to meet the realities of CMS scrutiny and audit exposure. Every coding recommendation is fully traceable—with transparent logic, audit trails, and documentation that stands up to regulatory review. Whether your reviews are prospective, concurrent, or retrospective, iRAS applies the same rigorous standards of accuracy, accountability, and audit readiness—protecting both your revenue and your reputation.

Clinician-Centric Coding, Designed for Provider Engagement

Clinician-Centric Coding, Designed for Provider Engagement

iRAS ensures that providers only see relevant, review-ready coding suggestions—cutting down on noise, reducing alert fatigue, and streamlining reviews. By removing low-value flags and surfacing only clinically meaningful opportunities, we reduce provider frustration while improving documentation accuracy. That builds trust, boosts engagement, and supports a more collaborative ecosystem.

Integrity-Driven Intelligence, Engineered for Systemic Trust

Integrity-Driven Intelligence, Engineered for Systemic Trust

iRAS goes beyond accuracy and compliance—it’s designed to promote ethical risk adjustment at scale. By embedding clinical validation, removing unsupported suggestions, and prioritizing patient-centered coding, iRAS helps ensure that technology is used responsibly. The result: risk adjustment that protects revenue while preserving the integrity of patient records, provider trust, and public credibility.

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