Today’s healthcare, financial, crypto, and compliance ecosystems are complicated, fast paced, and demands pioneering expertise.

work faster. work smarter.

Best-in-Class Solutions

Augment In-House

  • Artificial Intelligence
  • Accessibility
  • Cybersecurity
  • Financial Technology
  • Project Management

Industry Leading Know-how

Advance Regulatory Proficiency

  • Medicare Part C & D
  • 508/WCAG Compliance
  • Payment Oversight & Audit Readiness
  • Revenue Management
  • Program Integrity

Technology Innovations

Leverage the Powerful
RaLytics Platform

Medical Record Evaluation

Evaluate and identify vulnerable medical record documentation for internal compliance, provider education and training, and mitigating audit risk by oversight entities.

Payment Cycle Optimization

Optimize payment by identifying gaps between patient encounters and medical record documentation to improve beneficiary management and reimbursement accuracy.

Claims Anomaly Detection

Score claims documentation for likelihood of support or reimbursement, generating input for further analysis or corrective actions.

Who We Serve

Improving the
Healthcare System
for Everyone

RaLytics’ overarching goal is providing unique solutions and technologies to improve the Medicare Advantage system for everyone.

RaLytics solutions help improve the Medicare Advantage risk adjustment ecosystem for Payers, Providers, and the vendors who support them.

We’re turning burden into opportunity for stakeholders, enabling them to grow and adapt in a changing healthcare system.

Streamlining Program Reimbursement
& Compliance

Put Artificial Intelligence, Interoperability & Analytics into Action

The RaLytics platform, underpinned by policy-driven algorithms, reduces burden by streamlining transfer and evaluation of medical records while providing previously unavailable insights.

Asian woman surrounded by a cloud of data representing AI helping people be better at their jobs

Contact Us to Learn More

Ready to Get Started?

RaLytics is excited to show you how our solutions can work for your organization. Please contact us to get started on improving your RADV experience.

Keeping You Informed

Latest News & Articles

RADV Final Rule

RADV Final Rule

CMS has published its final rule for Medicare Advantage risk adjustment data validation, codifying a number of changes with far-reaching ramifications for MAOs.

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