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Find Missed Revenue. Strengthen Documentation. Drive Resolution.

Burse reviews the medical record to identify likely missed conditions, assess documentation support for compliant capture, and route follow-up work through resolution.

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Article: The End of Revenue-First Risk Adjustment
BURSE

Find Conditions • Ensure Documentation Integrity • Drive Resolution

Identifies missed clinically supported conditions from longitudinal clinical evidence
Evaluates whether documentation supports compliant MEAT-based capture
Performs medical record coding validation to identify over- and under-coded conditions
Routes work across the right workflows, verifies each step along the way, and drives timely resolution
Product modules
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Find Conditions

Surface likely missed conditions from clinical signals.

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Ensure Documentation Integrity

Evaluate diagnosis-level support and compliant capture.

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Drive Resolution

Route work to the right team and track resolution.

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Pilot Program

Burse is currently available through a limited pilot program for select provider groups, ACOs, and health plans.

Validation

Early Validation Results

Qualitative feedback and quantitative findings from an initial 25-encounter evaluation.

“In a 25-patient evaluation, an initial review was completed by a certified coder and an independent peer reviewer. The Numeracy Group’s AI then performed a third-pass analysis, identifying multiple documentation integrity issues, missed billing opportunities, and additional documentation and coding needed to support revenue capture. Every AI-identified finding was confirmed as correct.”
— Coding Lead, Large Southwest Provider Group

25 de-identified encounters • Certified coder review + independent peer review • Burse AI third-pass analysis • Every AI-identified finding confirmed by client

$4.8K

Average revenue opportunity per patient

Condition-Level Findings
9
New chronic conditions

Not documented/coded for capture

12
Documented, not billed

Present in documentation; missing from claim

3
Audit risk (failed M.E.A.T.)

Billed diagnoses with weak documentation

24 condition-level opportunities surfaced across 25 encounters

This evaluation provides early validation on a limited sample, not a universal production benchmark. Each client deployment is validated on the client’s own data before go-live.

Let’s talk

Curious about pilots or rollout? Share a few details and we’ll follow up directly.

Talk to our team
marketing@numeracygroup.com
Who we serve
ACOs, Provider Groups, Health Plans
EHR
Embedded
Security
HIPAA-ready
Scale
Enterprise rollout