Introductio
Risk adjustment demands accuracy, speed, and compliance, yet traditional methods remain slow and error-prone. Cogent AI, our Neuro-Symbolic AI–powered platform, automates HCC and HHS coding and reporting to deliver precision, compliance, and scalable performance with over 97% accuracy
Problems & Solution
The Problem & Industry Challeng
Manual chart reviews and fragmented workflows often cause missed HCC and HHS codes, inconsistent documentation, delayed reporting, and revenue loss — directly impacting reimbursements and care quality. In addition, the absence of automated oversight for OIG codes and compliance tracking further increases audit risks
AI-Driven Coding: Automates HCC, HHS, non-HCC, and Rx coding using advanced NeuroSymbolic AI for contextual understanding and reasoning. Supports retrospective, concurrent, and prospective workflows with MEAT validation and care-gap detection
Dynamic RAF Scoring: Automatically calculates and updates RAF scores for real-time accuracy and insight
HE DIS/RADV Compliance: Covers 90 HEDIS/RADV audit measures to ensure complete regulatory alignment
C omprehensive Reporting & Financial Summary Automation: Instantly generates compliance-ready reports and financial summaries to support accurate forecasting, audit readiness, and executive decision-making
Doc ument Summarization: Extracts and summarises key insights from clinical notes, charts, and encounter documents to streamline reviews and approvals
S eamless Integration: Works effortlessly with EHRs and existing clinical system
A I Tools: Built-in Coderoot and intelligent assistants enhance coder speed, accuracy, and productivity
Experience a powerful, data-driven dashboard that highlights the top 10 OIG codes—offering clear insights to optimize performance and drive smarter compliance decisions
Strengthen outcomes through precise, explainable intelligenc
Boost performance across all value-based programs
Unlock smarter coding with Neuro-Symbolic AI–powered risk adjustment