AI-powered

risk adjustment

Capture an accurate picture of patients’ health status with data you can trust, surfaced at the point of care.

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Trusted by

Improve RAF score
accuracy with
clinical intelligence

Our proprietary AI technology transforms chaotic healthcare data from deep within the patient record into clinical insights, right at the point of care. Insights include newly suspected conditions, in addition to recapture, with relevant CMS HCC codes. Each insight is backed by clinical evidence from claims, health information exchange (HIE), and unstructured data.

Supporting V24, V28
and RxHCC

Navina's AI streamlines the transition from V24 to V28 CMS HCC models by presenting unified diagnosis recommendations in one place. This ensures accurate capture and coding for optimized risk adjustment across multiple risk models, including RxHCC, V24, and V28.

Augment point-of-care workflows

Navina’s risk adjustment optimization tool lives natively in the EHR where clinicians already work. It integrates bidirectionally with patient records, enabling one-click documentation. This seamless workflow significantly reduces the administrative burden for both clinical and back-office teams, streamlining your risk adjustment HCC coding process.

Monitor value-based performance in real time

Identify gaps, friction, and opportunities for education and training with Navina’s robust analytics dashboards. Understand how your organization is performing and track value-based metrics. With full visibility across the organization, you’ll know exactly where to optimize for success.

High accuracy, high adoption

75
%
Acceptance rate of AI diagnosis recommendations
92
%
Weekly active usage
49
%
Rate of newly identified conditions

Empower clinicians with clinical intelligence

Navina’s software transforms chaotic healthcare data into clinical insights right where decisions are made – at the point of care. Every HCC diagnosis suggestion is backed by clinical evidence, boosting trust in the data and empowering clinicians to stay actively engaged in value-based workflows.

Enhance risk adjustment accuracy

Our proprietary AI engine surfaces diagnosis insights buried deep within the patient record, ensuring no condition is overlooked and improving RAF scores accuracy. Insights include newly suspected conditions based on clinical evidence from claims, health information exchange (HIE), and unstructured data from the EHR such as notes and imaging.

The most innovative
value-based
organizations choose Navina

"My team at Parker Square has really embraced and utilized Navina in so many different aspects. We have immediate access to crucial patient data like recent mammography or lab results, right in our patient chart. It even enables us to review HCC codes, and bring it back to the patients' chart, which allows me to identify the patient to the appropriate complexity for both my own knowledge, as well as for the insurance."

Dr. Christen Vu
Physician Lead, OnPoint Medical Group
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"Navina helps me in my day to day simply by allowing me to get through my visit in a much more efficient way. It helps me identify problems that I didn't realize were there."

Dr. Jarrett S. Dodd, MD
Medical Director, CVFP Medical Group
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"We chose Navina because it was light years ahead of other systems that worked with our electronic medical record. Over 90% of our doctors used Navina within the first week. Now we have every doctor using it every day."

Dr. Benjamin Cook
Family Medicine Physician, Jefferson City Medical Group
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"Navina’s platform stands out because of its ability to reduce the burden on physicians while also giving a more appropriate history of the patient’s conditions. It backs up every insight and diagnosis with clinical evidence presented at the time of a patient visit."

Dr. Keith Fernandez
Chief Clinical Officer, Privia Health
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"For over a year our providers have been utilizing Navina to benefit every aspect of patient interaction. The seamless EMR integration and unparalleled support from every member of the Navina team has contributed to better patient care and a drastic increase in our overall patient risk adjustment scores. Joining the Navina Team has easily been one of the best decisions our practice has ever made."

Robert F. DeLuca, J.D
EMR Innovation Administrator, Medical Consultants Management
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"Navina provides the backup information for any clinical insight that the AI engine brings up. That's really helpful to build trust in the software."

Dr. Christiana Beveridge
President & Chief Medical Officer
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Awards and recognition

Navina is a recognized pioneer in the Artificial Intelligence space, revolutionizing value-based care for doctors.
KLAS Research Top 20 Emerging Solutions of 2024
2024 MedTech Breakthrough Award for Best Overall Health Informatics Solution
KLAS Research Spotlights Navina as Top Rated Emerging Solution
CB Insights Digital Health Top 50 - Clinical Intelligence Category
CB Insights Top 50 List of Most Innovative GenAI Startups
CB Insights List of the Top 100 AI Companies in the World

Transform care with the leading AI platform for
value-based success

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