Chista
Medicare Advantage/Managed Medicaid automated chart review
We provide automated chart review support for Medicare Advantage and Managed Medicaid risk adjustment teams.
Our solution focuses on a specific, high-friction step in the RAF submission process: reviewing medical charts and identifying clinical evidence that supports submitted ICD/HCCs.
Given a medical chart, we:
Verify required face-to-face documentation elements
Identify relevant ICD/HCCs
Highlight the exact sections of clinical notes that support each condition
The output is a reviewer-ready PDF that reduces manual chart abstraction and fits cleanly into existing risk adjustment workflows.
The product can be run at scale or used for pilot chart batches, and is designed to complement — not replace — existing coding, RADV, and analytics vendors.
United States