Skip to content

Platform agnostic Files in → dollars out

Pre‑bill RAF & Denial Prevention

Convert clinical data into compliant, audit-ready claim lines. We learn from past 835s to catch repeat denials before they happen, boosting RAF accuracy and revenue in weeks, not months.

Pre-bill drafts with MEAT

Claim lines auto-build from notes, labs, meds, vitals, and imaging with evidence attached.

835 learning loop

Remittance codes become next-claim guardrails so CARC 97/16 callbacks fall.

Risk gaps surfaced

Likely missed HCCs appear with the specific chart proof compliance wants.

Payer rules enforced

Modifier, POS, and timing conflicts flagged per payer before submission.

Pilot fast, prove fast

Platform agnostic start—files in, KPI pack out in 30 days.

Why teams pick SynchroLink AI

Evidence → Draft → Dollars

Premium UX that coders adopt on day one. Guardrails compliance loves.

Move dollars, not just scores

Accept→Draft turns suggestions into billable ICD/CPT lines with MEAT evidence—ready to test in 837P.

Built for speed & auditAdopted Day 1
Coder-grade workflow

Worklist with SLA, assignee, payer context, and v28 impact so teams adopt it on day one.

Built for speed & auditAdopted Day 1
Evidence-first compliance

No MEAT = no draft. We store the exact evidence window for audit readiness.

Built for speed & auditAdopted Day 1
Denial learning from 835s

CARC/RARC-driven prevention hints feed the next similar items to avoid repeat denials.

Built for speed & auditAdopted Day 1
Zero-integration pilot

SFTP files in; drafts/CSV/837 out. Prove impact in 30 days—then integrate if desired.

Built for speed & auditAdopted Day 1

Features that move cash

Everything is intentional. Everything earns its keep.

Pre-bill drafting with audit-ready evidence
Compliance by design
  • Auto-generate claim lines from notes, labs, meds, vitals, and imaging.
  • Every HCC must pass a MEAT gate before a draft is allowed.
  • No MEAT? No claim line. Compliance lives in the workflow.
Why it matters: Avoid retro documentation scrambles and audit penalties.
835 learning that prevents repeat denials
Denial feedback loop
  • Ingests remittance data to understand denial and underpayment patterns.
  • Feeds prevention hints into the next similar encounter in real time.
  • Shines a light on stealth underpayments like CARC 97 and CARC 16.
Why it matters: Turns RAF coding into a denial prevention engine, not just a fix-it queue.
Risk gap detection at the right moment
  • Surfaces likely missed HCCs based on documentation, history, and modeling.
  • Links every suggestion to the exact evidence in the chart—no guesswork.
  • Ethical guardrails ensure RAF gains stay defensible.
Why it matters: Raise RAF confidently without triggering compliance alarms.
Custom payer rules and modifier enforcement
  • Flags modifier, POS, and timing conflicts before claims leave your shop.
  • Ships payer-specific rule packs out-of-the-box—beyond CMS defaults.
  • Stops silent underpayments by matching how each payer adjudicates.
Why it matters: Keep claims from bouncing or being quietly downgraded so cash stays predictable.
Clear SLA ownership and calm worklists
  • Coders see what’s assigned, what’s due, and where evidence is missing.
  • Drafts arrive pre-built, so teams approve instead of reinventing lines.
  • Management tracks progress without driving burnout.
Why it matters: Reduces manual rework, stabilizes revenue ops, and proves ROI to leadership.
Rapid deployment and measurable impact
30-day pilot
  • Platform agnostic companion to your current coding and billing stack.
  • Kick off with SFTP files—no EHR integration required to start.
  • Deliver before/after KPIs in 30 days with a pilot-ready dashboard.
Why it matters: Hospital and ACO leaders get fast proof with low lift.
How we help you capture accurate risk

We protect the revenue you’ve already earned

We help ACOs, MSOs, providers, and health plans protect the revenue they’ve already earned. No IT lift. No workflow disruption. Just cleaner claims, higher RAF, and fewer denials.

Whether you’re managing risk in an Accountable Care Organization (ACO), overseeing multiple practices in a Management Services Organization (MSO), or running claims and compliance at a provider group or health plan — we meet you where you work.

Revenue & finance leaders
Cash flowDenials stay down30-day KPI pack
  • Payer-specific guardrails stop rejections and silent underpayments before they start.
  • 835 learning loop shows why denials happened and blocks the next lookalike.
  • Pilot reporting tracks RAF, cash posted, and denial rate deltas in under a month.
Coding & clinical documentation
Calm queueMEAT attachedRisk gaps surfaced
  • Ownership, SLAs, and payer context keep the worklist calm and accountable.
  • Drafts arrive pre-built with MEAT evidence so coders approve instead of rebuild.
  • Likely missed HCCs appear with the precise note, lab, or vital that justifies them.
Compliance & risk teams
No MEAT, no lineAudit trailEthical guardrails
  • MEAT gate enforces ‘no evidence, no claim line’ without manual policing.
  • Line-level audit packs store timestamps, authorship, and supporting proof.
  • Ethical guardrails keep RAF lift defensible with every payer you support.
Who we help

Built for risk-bearing teams at every level

From shared-savings ACOs to national plans, we meet you where you work. Choose the group below to see how SynchroLink AI supports your goals.

Risk-bearing networks

Keep shared savings from slipping through documentation gaps.

Shared savings fall through the cracks when chronic conditions are documented in the chart but never make it onto claims. RAF scores get locked before every condition is captured, while denials and resubmissions create overhead for you and your network. We fix that by helping your teams close documentation gaps and code correctly the first time — without adding work.

Your coders and clinicians stay in sync, your claims are audit-safe, and your entire network performs at a higher standard. You get more of the value you’ve already earned.

  • Risk-bearing conditions are documented, coded, and submitted on time.
  • MEAT-backed diagnosis codes flow to claims without a second pass.
  • Avoid disputes, support compliance, and improve performance across the network — even in sites with limited infrastructure or clinical staff.

End-to-end workflow

Drag-drop 837 + notes + 835 → Worklist decisions → Accept → Draft → export → denial hints.

  1. Step 0
    Bring what you have
    • 837 claims for context
    • Notes/labs/meds/vitals/imaging
    • 835 payments & denials
  2. Step 1
    Organize by Encounter
    • One place per visit
    • Evidence highlighted + explainable
    • Suggested codes with the why
  3. Step 2
    Coder Worklist
    • Priority + owner
    • Payer context + v28 impact
    • Built for quick decisions
  4. Step 3
    Evidence first
    • No evidence, no draft
    • MEAT spans saved
    • Audit trail by line
  5. Step 4
    Accept → Draft
    • One click to draft
    • ICD/CPT + pointers
    • Export CSV/837 or push
  6. Step 5
    Submit & move on
    • Clock stops
    • Team keeps flowing
    • Nothing extra to maintain
  7. Step 6
    Learn from 835
    • Denials → prevention hints
    • Hints appear where you work
    • Denials drop & stay down
Shows up where work happens

Coder Worklist → Accept → Draft

Make better claims, faster. Evidence is front and center. Drafts only generate when proof is present.

Diagnosis / Evidence
HCC (v24→v28)
Payer
v28 Impact
Action
Parkinsonism with MEAT spans shown
HCC 35 → HCC 22
Humana
RAF +0.12
MDD in remission (evidence validated)
HCC 59 → HCC 57
UHC
RAF +0.08
HF w/ acuity specified; Z79.4 present
HCC 84 → HCC 83
Aetna
Denials ↓
Drafted
Compliance first: Drafts only generate after MEAT is confirmed. We store the exact evidence window used.

Close the loop with your 835s

Denial codes become prevention hints that appear exactly where your team works.

Missing info
Prevented
We prompt for the exact detail before submission.
Insufficient documentation
Proved
We point to the sentence, lab, or vital that proves it.
Not covered as billed
Flagged
We surface likely code/modifier issues early.
Every 835 teaches the next draft—repeat denials go down and stay down.

We show the dollars

Not a vanity score in sight—only the metrics CFOs sign.

30-day Pilot Cohort
Real dollars posted
Drafts/time
With MEAT
Denials ↓
Time to draft
↓ 42%
from worklist adoption
% drafts with evidence
> 95%
MEAT quality gate
Denial rate vs baseline
−3 pts
payer mix adjusted
v28 value captured
+0.10
per eligible patient
$ posted
+$216k
30-day cohort from ERAs
Draft speed
↓ 42%
time to draft
Evidence quality
> 95%
drafts w/ MEAT
Denials
−3 pts
vs baseline
v28 value
+0.10
per eligible pt
Cash posted
+$216k
30-day cohort

Why we’re different from legacy analytics

Built for coders to act — not analysts to observe.

SynchroLink AI
Legacy analytics platforms
Accept→Draft in the workflowActionable
Insights in reports, outside coder flow
Calm queue with ownership & SLAActionable
Population dashboards w/ no assignee
Denial prevention built in (835 learn)Actionable
After-the-fact denial analytics
Evidence window saved per lineActionable
Flags without linked proof
v24→v28 specificity shown inlineActionable
Model changes handled offline
Start now - minimal IT liftActionable
Lengthy integrations to get value
Bottom line: our suggestions become draft claim lines with the proof attached — ready to test in 837P.
Ethical guardrails

Get the right code - ethically

We make tricky choices simple and safe. Clear side-by-side guidance and required proof keep coding accurate - never aggressive.

Parkinsonism vs Parkinson’s
G21.4 vs G20

We show RAF/denial implications, require MEAT evidence, and never auto-flip.

Guardrail: No MEAT → no draft. Required specifics shown inline before drafting.
MDD remission vs active
F33.x nuances

Side-by-side guidance; spans + checklist force specificity.

Guardrail: No MEAT → no draft. Required specifics shown inline before drafting.
HF acuity + insulin use
Z79.4

Prevents CARC-16 by ensuring required details are present.

Guardrail: No MEAT → no draft. Required specifics shown inline before drafting.

Security & compliance

BAA / HIPAA
We execute BAAs and operate least‑privilege, tenant‑isolated environments.
PHI handling
SFTP or TLS upload; encryption in transit and at rest; audit logging of all access.
CPT® licensing
Support for client‑held or vendor‑held AMA CPT licenses when CPT is displayed or stored.
Data minimization
Only files required for pre‑bill control (837/835/notes). No long‑term data warehouse copies.

Regulatory-ready by design

Built to withstand payer scrutiny and support internal compliance reviews.

Evidence-first

No MEAT → no draft. We store the exact spans we used for audit.

Line-level audit pack

Each drafted line carries its proof window for review.

Denial-prevention loop

835 reasons feed back in so repeat errors don’t recur.

Note: We support client policies for payer/CMS audit response workflows.

30‑day Zero‑Integration Pilot

Drop 837/835 + ~200 notes via SFTP. In 30 days, we’ll show denial rate down, drafts with MEAT up, and dollars posted. If we don’t move cash, you shouldn’t buy.

Available through

Procurement-ready with Carahsoft

Skip the sourcing cycles. SynchroLink AI is ready through Carahsoft for public sector, provider groups, and complex delivery networks.

Carahsoft
01 / 04

Book a Demo

Let’s turn evidence into revenue - safely.

What teams say after 30 days

Evidence → Draft → Dollars.

By week three, our coders were drafting faster and attaching clear MEAT proof. Month-end denials dipped without a big process change.
Interim VP Revenue Cycle RCM LeaderMA-heavy PCP Group (42 providers)
We stopped debating suggestions and started shipping drafts. The audit pack saved us hours preparing responses.
Coding Manager HCC Team LeadPhysician-owned MSO (12 coders)
The 835 loop is the game changer. Denial reasons show up as small nudges before submission. Our repeat denials fell within the pilot.
Director of Compliance ComplianceACO REACH (90k lives)

Get in touch

Have questions about pricing or fit? Send us a note.

We operate under BAA/HIPAA and practice data minimization.