Innovative Physician Partners pairs certified risk adjustment coding teams with purpose-built software — so health plans, provider groups and value-based organizations capture every supported HCC and stay audit-ready.
Experienced coders and clinical reviewers who work as an extension of your team — across the full encounter lifecycle.
A modular platform that connects record retrieval, coding, HCC suspecting, quality, education, audit and data exchange.
From pre-visit chart prep to post-claim review, our teams make sure every diagnosis is supported, specific and compliant with Medicare risk adjustment rules.
Pre-visit chart prep. We review prior-year claims, labs, meds and notes — plus our suspecting engine and prior review results — to prepare a prospective review form for contracted PCPs covering outstanding HCCs and open care gaps.
Post-documentation, pre-submission review of each encounter note. We confirm HCC-supporting diagnoses are coded to full specificity, communicate interventions to the PCP, and supply supported CPT II codes.
Full post-claim chart review — single pass or two-way add/delete — to find HCCs that were missed, unsupported or miscoded. Includes target and chart chase development, and educational feedback on deficiencies.
Automated digital-fax retrieval and outreach. Charts are successfully retrieved, indexed and filed directly into the coding queue.
Review and coding of completed Annual Wellness Visit forms — ICD-10, CPT II and frailty codes — with provider education on deficiencies.
Independent secondary review of coded charts to validate accuracy, reduce risk of unsupported codes and strengthen audit defensibility.
Specialty-specific coaching built from real coding findings, helping physicians document to full specificity and MEAT criteria.
Strategic, operational and ad hoc risk adjustment engagements, scoped under a dedicated Statement of Work for each project.
License the modules you need today and add more as your program grows. Every deployment runs on the IPP Core Foundation.
Included with every commercial deployment — the security and governance layer every module is built on.
Strict data segregation with project-level archiving.
Project and practice-group visibility, down to the role.
HIPAA user activity logging that can't be altered.
Account lockouts, inactivity timeouts and NIST-aligned password rules.
Every module feeds the next — so findings don't just get coded, they improve documentation for the next measurement year.
Outreach, fax automation and a provider upload portal bring charts in fast.
Coders work locked queues while the suspect engine surfaces dropped conditions.
Rules engine and two-tier QA enforce MEAT and catch conflicts before export.
AI-classified deficiencies become targeted provider education and scorecards.
Encrypted SFTP and custom exports deliver results to partners on schedule.
Start with a focused edition or deploy the full platform. Every package includes IPP Core.
For teams focused on chart chase speed and partner delivery.
The compliant coding, suspecting and QA engine for HCC programs.
Risk capture, quality gaps and provider education in one pass.
All seven modules for plans and enterprises running the full lifecycle.
| Module | Retrieval | Risk Adjustment | Value-Based Care | Enterprise |
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Most vendors sell coders or software. We built both — so our services run on the tools we make, and our tools are shaped by the work we do every day.
MEAT enforcement, two-tier QA and immutable audit trails keep every code defensible under CMS audit.
Suspecting and recapture across measurement years surfaces conditions that would otherwise be lost.
Digital retrieval, locked worklists and batch submissions remove the bottlenecks from chart to claim.
Findings flow back to providers as education and scorecards, raising quality year over year.
Tell us about your membership, review volumes and goals. We'll recommend the right mix of services and platform modules.