HCC Assistant

JSON twin: https://www.healthaidb.com/software/hcc-assistant.json

Company Name

Inferscience

Product URL

https://www.inferscience.com/hcc-assistant-real-time-hcc-coding-guidance-2-2

Company URL

https://www.inferscience.com/

Categories

• clinical Decision Support
• health Data Analytics
• Clinical Decision Support (cds)
• Care Gap And Contract Performance Analytics

Summary

HCC Assistant by Inferscience is an AI-driven tool that integrates with EHRs to provide real-time HCC coding guidance, enhancing risk adjustment accuracy and maximizing Medicare Advantage reimbursements.

Description

HCC Assistant utilizes advanced Natural Language Processing (NLP) to analyze structured and unstructured patient data within EHRs, offering real-time HCC coding suggestions and plan-of-care recommendations. It aims to improve coding accuracy, increase RAF scores, and streamline risk adjustment workflows for healthcare providers.

Api Available

yes

Certifications

• SOC 2 Type II

Company Founding

2014

Company Offices

• United States

Compliance

• HIPAA
• SOC 2 Type II

Customers

• Tebra (previously Kareo + PatientPop)
• AdvancedMD
• RXNT
• XpertCoding
• NextGen Practice Management
• Clinion
• Codify
• 3M Codefinder
• MediRegs Coding
• Nuance Clintegrity
• Health Care Systems
• HCS Connect
• HCS eMAR
• HCS ePharmacy
• HCS Corrections Solutions

Data Residency

United States

Data Standards

• CCDA
• JSON
• ICD-10
• HCC

Deployment Model

• SaaS
• cloud
• EHR-integrated

Features

• Real-time HCC coding suggestions in provider workflow
• NLP analysis of structured and unstructured chart data
• OCR analysis for document data extraction
• MEAT criteria auditing
• Automatic plan-of-care suggestions
• Add selected HCC codes to Assessment & Plan from app
• Claims analytics to identify HCC gaps
• Analyzes clinical + claims information
• Uploads and parses PDF or CCDA claims files
• Delivers analysis results in JSON
• Provider/coder workflow efficiency and RAF improvement metrics
• Centralizes patient data across sources

Id

SW1543

Integration Partners

• Tebra (previously Kareo + PatientPop)
• AdvancedMD
• RXNT
• XpertCoding
• NextGen Practice Management
• Clinion
• Codify
• 3M Codefinder
• MediRegs Coding
• Nuance Clintegrity
• Health Care Systems
• HCS Connect
• HCS eMAR
• HCS ePharmacy
• HCS Corrections Solutions

Integrations

• athenaOne / athenaClinicals
• Veradigm (Touchworks)

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb
• provider
• health plan

Optional Modules

• HCC Validator (audit risk protection)
• Quality Assistant (care gaps/quality workflow)
• Claims analytics module

Os Platforms

• Web
• EHR-integrated

Pricing Details

Contact vendor for pricing, demo, and deployment options.

Pricing Model

enterprise_quote

Privacy Features

• BAA available
• Consent management
• Anonymization
• Data minimization

Product Code

SW1543

Product Name

HCC Assistant

Ratings

• 4.1 out of 5 stars (234 reviews) - Tebra (previously Kareo + PatientPop)
• 3.6 out of 5 stars (62 reviews) - AdvancedMD
• 4.2 out of 5 stars (53 reviews) - RXNT
• 4.7 out of 5 stars (11 reviews) - XpertCoding
• 4.6 out of 5 stars (10 reviews) - NextGen Practice Management
• 4.5 out of 5 stars (3 reviews) - Clinion
• 5.0 out of 5 stars (1 review) - Codify
• 5.0 out of 5 stars (1 review) - 3M Codefinder
• 4.1 out of 5 stars (18 reviews) - Health Care Systems
• 4.5 out of 5 stars (1 review) - HealtheCare

Regions Available

• United States

Related Urls

• https://elion.health/products/inferscience-hcc-assistant

Release Year

2019

Security Features

• Encryption
• RBAC
• Audit logs
• 2FA

Specialties

• Primary Care
• Geriatrics
• Internal Medicine
• Cardiology
• Pulmonology
• Nephrology
• Endocrinology

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Cloud-based SaaS; integrates with existing EHRs (no on-prem requirements listed)

Target Users

• physicians
• clinicians
• medical coders
• clinical documentation specialists
• health plan analysts

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• HCC Assistant is a platform integrated into the EHR that saves providers hours of repetitive work and helps the average practice increase its RAF scores by 35%.

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "HCC Assistant",
  "company_name": "Inferscience",
  "product_url": "https://www.inferscience.com/hcc-assistant-real-time-hcc-coding-guidance-2-2",
  "company_url": "https://www.inferscience.com/",
  "related_urls": [
    "https://elion.health/products/inferscience-hcc-assistant"
  ],
  "product_code": "SW1543",
  "summary": "HCC Assistant by Inferscience is an AI-driven tool that integrates with EHRs to provide real-time HCC coding guidance, enhancing risk adjustment accuracy and maximizing Medicare Advantage reimbursements.",
  "description": "HCC Assistant utilizes advanced Natural Language Processing (NLP) to analyze structured and unstructured patient data within EHRs, offering real-time HCC coding suggestions and plan-of-care recommendations. It aims to improve coding accuracy, increase RAF scores, and streamline risk adjustment workflows for healthcare providers.",
  "categories": [
    "clinical Decision Support",
    "health Data Analytics",
    "Clinical Decision Support (cds)",
    "Care Gap And Contract Performance Analytics"
  ],
  "market_segment": [
    "enterprise",
    "smb",
    "provider",
    "health plan"
  ],
  "target_users": [
    "physicians",
    "clinicians",
    "medical coders",
    "clinical documentation specialists",
    "health plan analysts"
  ],
  "specialties": [
    "Primary Care",
    "Geriatrics",
    "Internal Medicine",
    "Cardiology",
    "Pulmonology",
    "Nephrology",
    "Endocrinology"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing, demo, and deployment options.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2014",
  "deployment_model": [
    "SaaS",
    "cloud",
    "EHR-integrated"
  ],
  "os_platforms": [
    "Web",
    "EHR-integrated"
  ],
  "features": [
    "Real-time HCC coding suggestions in provider workflow",
    "NLP analysis of structured and unstructured chart data",
    "OCR analysis for document data extraction",
    "MEAT criteria auditing",
    "Automatic plan-of-care suggestions",
    "Add selected HCC codes to Assessment & Plan from app",
    "Claims analytics to identify HCC gaps",
    "Analyzes clinical + claims information",
    "Uploads and parses PDF or CCDA claims files",
    "Delivers analysis results in JSON",
    "Provider/coder workflow efficiency and RAF improvement metrics",
    "Centralizes patient data across sources"
  ],
  "optional_modules": [
    "HCC Validator (audit risk protection)",
    "Quality Assistant (care gaps/quality workflow)",
    "Claims analytics module"
  ],
  "integrations": [
    "athenaOne / athenaClinicals",
    "Veradigm (Touchworks)"
  ],
  "data_standards": [
    "CCDA",
    "JSON",
    "ICD-10",
    "HCC"
  ],
  "api_available": "yes",
  "system_requirements": "Cloud-based SaaS; integrates with existing EHRs (no on-prem requirements listed)",
  "compliance": [
    "HIPAA",
    "SOC 2 Type II"
  ],
  "certifications": [
    "SOC 2 Type II"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "Audit logs",
    "2FA"
  ],
  "privacy_features": [
    "BAA available",
    "Consent management",
    "Anonymization",
    "Data minimization"
  ],
  "data_residency": "United States",
  "customers": [
    "Tebra (previously Kareo + PatientPop)",
    "AdvancedMD",
    "RXNT",
    "XpertCoding",
    "NextGen Practice Management",
    "Clinion",
    "Codify",
    "3M Codefinder",
    "MediRegs Coding",
    "Nuance Clintegrity",
    "Health Care Systems",
    "HCS Connect",
    "HCS eMAR",
    "HCS ePharmacy",
    "HCS Corrections Solutions"
  ],
  "user_reviews": [
    "HCC Assistant is a platform integrated into the EHR that saves providers hours of repetitive work and helps the average practice increase its RAF scores by 35%."
  ],
  "ratings": [
    "4.1 out of 5 stars (234 reviews) - Tebra (previously Kareo + PatientPop)",
    "3.6 out of 5 stars (62 reviews) - AdvancedMD",
    "4.2 out of 5 stars (53 reviews) - RXNT",
    "4.7 out of 5 stars (11 reviews) - XpertCoding",
    "4.6 out of 5 stars (10 reviews) - NextGen Practice Management",
    "4.5 out of 5 stars (3 reviews) - Clinion",
    "5.0 out of 5 stars (1 review) - Codify",
    "5.0 out of 5 stars (1 review) - 3M Codefinder",
    "4.1 out of 5 stars (18 reviews) - Health Care Systems",
    "4.5 out of 5 stars (1 review) - HealtheCare"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2019",
  "integration_partners": [
    "Tebra (previously Kareo + PatientPop)",
    "AdvancedMD",
    "RXNT",
    "XpertCoding",
    "NextGen Practice Management",
    "Clinion",
    "Codify",
    "3M Codefinder",
    "MediRegs Coding",
    "Nuance Clintegrity",
    "Health Care Systems",
    "HCS Connect",
    "HCS eMAR",
    "HCS ePharmacy",
    "HCS Corrections Solutions"
  ],
  "id": "SW1543",
  "slug": "hcc-assistant",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/hcc-assistant.json"
  }
}