HCC Chart Review

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

Company Name

Notable

Product URL

https://www.notablehealth.com/solutions/hcc-chart-review

Company URL

https://www.notablehealth.com

Categories

• clinical Care
• administrative Operations
• diagnostic Support
• ai Clinical Documentation Integrity
• ehr Integration
• risk Management
• provider Engagement
• clinical Workflow Optimization
• health Data Analytics
• healthcare It
• Clinical
• Administrative
• Diagnostic
• Ai-powered Automation
• Risk Adjustment
• Workflow Optimization
• Patient Data Analysis

Summary

Notable's HCC Chart Review leverages AI to enhance risk adjustment accuracy by automating chart reviews and integrating seamlessly into EHR workflows, reducing manual coder burden and improving provider adoption.

Description

Notable's HCC Chart Review utilizes artificial intelligence to analyze patient histories—including clinical notes, claims, and other data sources—to identify new and recapture Hierarchical Condition Category (HCC) codes. This system provides evidence-based recommendations to providers during patient visits through EHR integration and supports medical coders, helping improve the accuracy of risk adjustment in both prospective and retrospective HCC workflows. The solution has demonstrated significant impact, including a $1.7 million increase in collected revenue from improved risk stratification accuracy, a threefold increase in weekly HCC suspecting chart reviews, and an average new HCC code capture rate of 41%. Notable's AI performs manual workflows like patient outreach, EHR data entry, and document uploads, automating tasks traditionally handled by human staff. The platform integrates with existing EHR systems, unlocking both structured and unstructured data to enhance workflow efficiency. Additionally, Notable's AI engages providers with actionable point-of-care workflows, presenting concrete evidence directly from the patient's chart, thereby improving provider adoption and reducing the time spent on manual chart reviews. This integration ensures that providers and staff work within their native EHR environments, streamlining processes and enhancing overall care delivery. Notable's HCC Chart Review is designed to empower healthcare organizations to manage increased workloads without additional staffing, enabling patient volume growth while controlling costs. By automating chart reviews and integrating seamlessly into EHR workflows, the solution reduces manual coder burden and improves provider adoption, ultimately enhancing the quality and accuracy of risk adjustment processes.

Api Available

unknown

Certifications

• FDA 510(k)
• CE/MDR
• ONC
• ISO 27001

Company Founding

2017

Company Offices

• United States

Compliance

• HIPAA
• SOC 2
• ISO 27001

Customers

• Security Health Plan
• North Kansas City Hospital & Meritas Health
• Reid Health
• Castell
• ThedaCare
• Community Health Network

Data Residency

US/EU regions

Data Standards

• FHIR
• HL7 v2
• DICOM
• SNOMED
• ICD-10

Deployment Model

• SaaS

Features

• Automated HCC chart review
• AI-driven risk adjustment
• Pre-visit chart review
• Provider-trusted recommendations
• Post-visit HCC intelligence
• Bi-directional EHR integration
• Evidence-based point-of-care workflows
• Integration of unstructured EHR data
• Claims data integration
• Provider engagement through actionable workflows

Id

SW1886

Integration Partners

• Epic
• Cerner

Integrations

• EHR systems
• Claims management systems

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Flow Builder
• Sidekick
• AI Agents

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• BAA available
• Consent management
• Anonymization
• Data minimization

Product Code

SW1886

Product Name

HCC Chart Review

Ratings

Regions Available

• United States

Related Urls

• https://elion.health/products/notable-hcc-chart-review

Release Year

2021

Security Features

• Encryption
• RBAC
• SSO/SAML
• Audit logs
• 2FA
• DLP

Specialties

• General Medicine
• Internal Medicine
• Family Medicine
• Geriatrics
• Cardiology
• Pulmonology
• Endocrinology
• Neurology
• Orthopedics
• Gastroenterology
• Rheumatology
• Infectious Disease
• Hematology
• Oncology
• Nephrology
• Urology
• Obstetrics And Gynecology
• Pediatrics
• Psychiatry
• Dermatology

Support Channels

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

System Requirements

Target Users

• clinicians
• nurses
• admins
• coders
• healthcare organizations

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• It's just easy. All the information is in one place, and it's concise and accurate. We have a few different tools for addressing HCCs, but Notable’s Chronic Condition review is a one-stop shop.

Version

1.0

Alternatives

See related products

Canonical JSON

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  "product_name": "HCC Chart Review",
  "company_name": "Notable",
  "product_url": "https://www.notablehealth.com/solutions/hcc-chart-review",
  "company_url": "https://www.notablehealth.com",
  "related_urls": [
    "https://elion.health/products/notable-hcc-chart-review"
  ],
  "product_code": "SW1886",
  "summary": "Notable's HCC Chart Review leverages AI to enhance risk adjustment accuracy by automating chart reviews and integrating seamlessly into EHR workflows, reducing manual coder burden and improving provider adoption.",
  "description": "Notable's HCC Chart Review utilizes artificial intelligence to analyze patient histories—including clinical notes, claims, and other data sources—to identify new and recapture Hierarchical Condition Category (HCC) codes. This system provides evidence-based recommendations to providers during patient visits through EHR integration and supports medical coders, helping improve the accuracy of risk adjustment in both prospective and retrospective HCC workflows. The solution has demonstrated significant impact, including a $1.7 million increase in collected revenue from improved risk stratification accuracy, a threefold increase in weekly HCC suspecting chart reviews, and an average new HCC code capture rate of 41%. Notable's AI performs manual workflows like patient outreach, EHR data entry, and document uploads, automating tasks traditionally handled by human staff. The platform integrates with existing EHR systems, unlocking both structured and unstructured data to enhance workflow efficiency. Additionally, Notable's AI engages providers with actionable point-of-care workflows, presenting concrete evidence directly from the patient's chart, thereby improving provider adoption and reducing the time spent on manual chart reviews. This integration ensures that providers and staff work within their native EHR environments, streamlining processes and enhancing overall care delivery. Notable's HCC Chart Review is designed to empower healthcare organizations to manage increased workloads without additional staffing, enabling patient volume growth while controlling costs. By automating chart reviews and integrating seamlessly into EHR workflows, the solution reduces manual coder burden and improves provider adoption, ultimately enhancing the quality and accuracy of risk adjustment processes.",
  "categories": [
    "clinical Care",
    "administrative Operations",
    "diagnostic Support",
    "ai Clinical Documentation Integrity",
    "administrative Operations",
    "ehr Integration",
    "risk Management",
    "provider Engagement",
    "clinical Workflow Optimization",
    "health Data Analytics",
    "healthcare It",
    "Clinical",
    "Administrative",
    "Diagnostic",
    "Ai-powered Automation",
    "Ehr Integration",
    "Risk Adjustment",
    "Provider Engagement",
    "Workflow Optimization",
    "Patient Data Analysis",
    "Healthcare It"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "clinicians",
    "nurses",
    "admins",
    "coders",
    "healthcare organizations"
  ],
  "specialties": [
    "General Medicine",
    "Internal Medicine",
    "Family Medicine",
    "Geriatrics",
    "Cardiology",
    "Pulmonology",
    "Endocrinology",
    "Neurology",
    "Orthopedics",
    "Gastroenterology",
    "Rheumatology",
    "Infectious Disease",
    "Hematology",
    "Oncology",
    "Nephrology",
    "Urology",
    "Obstetrics And Gynecology",
    "Pediatrics",
    "Psychiatry",
    "Dermatology"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2017",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Automated HCC chart review",
    "AI-driven risk adjustment",
    "Pre-visit chart review",
    "Provider-trusted recommendations",
    "Post-visit HCC intelligence",
    "Bi-directional EHR integration",
    "Evidence-based point-of-care workflows",
    "Integration of unstructured EHR data",
    "Claims data integration",
    "Provider engagement through actionable workflows"
  ],
  "optional_modules": [
    "Flow Builder",
    "Sidekick",
    "AI Agents"
  ],
  "integrations": [
    "EHR systems",
    "Claims management systems"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED",
    "ICD-10"
  ],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "SOC 2",
    "ISO 27001"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE/MDR",
    "ONC",
    "ISO 27001"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "SSO/SAML",
    "Audit logs",
    "2FA",
    "DLP"
  ],
  "privacy_features": [
    "BAA available",
    "Consent management",
    "Anonymization",
    "Data minimization"
  ],
  "data_residency": "US/EU regions",
  "customers": [
    "Security Health Plan",
    "North Kansas City Hospital & Meritas Health",
    "Reid Health",
    "Castell",
    "ThedaCare",
    "Community Health Network"
  ],
  "user_reviews": [
    "It's just easy. All the information is in one place, and it's concise and accurate. We have a few different tools for addressing HCCs, but Notable’s Chronic Condition review is a one-stop shop."
  ],
  "ratings": [],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2021",
  "integration_partners": [
    "Epic",
    "Cerner"
  ],
  "id": "SW1886",
  "slug": "hcc-chart-review",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/hcc-chart-review.json"
  }
}