Introducing Charta for Payers

One platform. More value from every chart.

Charta turns each chart review into reusable clinical evidence that powers your risk adjustment program, from suspecting through RADV.

See Charta for Payers in action

The problem

Same charts. Separate reviews. Scattered evidence.

Most plans run suspecting, retrospective coding, QA, and audit response as separate engagements. The same records often get pulled and reviewed again at every stage, and evidence found in one review rarely reaches the next. Charta delivers unified chart intelligence into every workflow—helping teams get more from every review.

Suspecting starts from scratch

Clinical evidence uncovered during retrospective review rarely makes it into suspecting, leaving teams to rediscover what they already know. Charta builds more robust suspecting by incorporating that evidence.

Retro built for volume, not accuracy

Volume-driven coding teams prioritize HCC adds over accuracy, leaving unsupported codes in submissions they won’t be able to validate in a RADV. Charta’s Smart Scan for risk adjustment pinpoints codes that lack support.

QA on a sample, not the program

Spot-checking a fraction of vendor-coded charts leaves missed HCCs and unsupported codes undetected, whether or not the vendor meets their SLA. Charta Smart Scan can audit vendor performance and reveal which charts might still contain value.

Audit season runs on spreadsheets

Records arrive inconsistently from retrieval vendors, leaving teams without a clear view of what’s validated, missing, or ready for submission across concurrent audits. Charta gives teams top-down visibility validation across audits.

What’s at stake

Repeat reviews drive up costs, missed HCCs leave revenue on the table, unsupported codes increase audit risk, and low-evidence suspects erode provider trust.

Plans need a single source of clinical evidence to support workflows across prospective risk adjustment, retro coding, and audit response to conserve resources and achieve greater RAF accuracy.

The platform advantage

One clinical evidence foundation

Charta turns every chart review into reusable, evidence-backed clinical intelligence. That intelligence powers connected workflows, reducing redundant reviews and helping teams make more defensible coding decisions.

Clinical suspecting intelligence

Surface clinically indicated conditions not documented this year, backed by evidence already uncovered across your program.

Full-service retrospective HCC coding

Capture defensible adds and identify unsupported codes in one review, while reducing unnecessary chart review work.

AI-automated second-pass coding

QA every coded chart, not just a sample. Catch missed HCCs, and unsupported codes that escaped your coding team or vendor.

Audit response and HCC validation

Track every chart, HCC, and retrieval gap across concurrent RADV, OIG, and internal validation audits, in one centralized workflow.

Building a high-performing RADV program

Reviewing records efficiently and consistently

With CMS auditing every Medicare Advantage contract each year, RADV is no longer a periodic fire drill. Get practical strategies to streamline chart review, improve evidence tracking, strengthen HCC validation, and build more consistent, submission-ready workflows.

See what your charts can do with Charta.

Explore how the platform fits your risk adjustment program.

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