Wave delivers end-to-end data intelligence, compliance, and optimization solutions for health plans and hospital systems — capturing every condition, ensuring every dollar.
Three pillars of intelligence that work together to power complete and accurate risk adjustment across your organization.
Comprehensive data intelligence that identifies and captures every chronic condition, HCC code, and clinical insight hidden in patient records.
Built-in compliance frameworks that ensure every coded encounter meets CMS guidelines and is defensible in RADV audits.
Advanced analytics and workflow automation that maximizes RAF scores, closes care gaps, and drives sustainable revenue performance.
Wave's intelligent platform covers the full spectrum — from data ingestion to audit-ready CMS submissions.
Our Computer-Assisted Coding engine uses natural language processing to scan medical records end-to-end — surfacing every chronic condition and HCC-relevant diagnosis, pre-highlighted for coders.
Wave's compliance module ensures every diagnosis submission is defensible. From real-time coding validation to RADV audit support, we eliminate compliance risk at every step.
Turn risk adjustment data into actionable revenue intelligence. Wave's analytics layer identifies unsupported HCC codes, surfaces suspected conditions, and models financial impact of improved capture rates.
Wave's end-to-end workflow automates the most labor-intensive steps — so your team focuses on clinical decisions, not paperwork.
Securely ingest structured and unstructured medical records from any EHR, claim system, or document repository.
Our NLP and AI engine scans every page — extracting chronic conditions, HCC-relevant diagnoses, and supporting clinical evidence.
Pre-highlighted charts are routed to coders via an intuitive workflow interface, dramatically reducing time-per-chart.
Validated, compliant codes are prepared for CMS submission with a complete audit trail and RADV-ready documentation.
In healthcare, compliance isn't optional. Wave is engineered from the ground up with the regulatory rigor that health plans and providers require — from HIPAA to RADV to CMS risk adjustment standards.
End-to-end encryption and role-based access controls across all data workflows
Audit-defensible documentation and complete submission audit trails
Current ICD-10 and HCC model compliance built into every workflow
Enterprise-grade security controls and data governance frameworks
Whether you're a national health plan or a regional provider group, Wave scales to your risk adjustment needs.
Maximize RAF scores, reduce overpayment risk, and ensure CMS compliance across your entire member population with Wave's intelligent coding platform.
Improve inpatient and outpatient documentation accuracy, capture missed diagnoses, and drive value-based care performance with tools your clinical teams will use.
Embed Wave's intelligence layer into your own workflows to dramatically accelerate throughput, accuracy, and client outcomes at scale.
Join health plans and hospital systems using Wave to capture more, comply better, and optimize revenue.
Or email us directly at info@wavehca.com