Risk adjustment software powered by AI
Improve RAF score accuracy and HCC coding efficiency with clinically-backed diagnosis insights right at the point of care.
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High accuracy, high adoption
The clinician-first AI suite
Improve RAF score accuracy with clinical intelligence
Navina delivers a prospective risk adjustment solution that identifies diagnoses based on clinical data, capturing true patient complexity and ensuring RAF accuracy. Our AI transforms complex patient data into point-of-care insights, including newly suspected conditions and recapture, with relevant HCC codes. Each insight is backed by clinical evidence from claims, HIEs, EHR notes, and imaging.
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 software lives in the EHR where clinicians already work. It integrates with patient records, enabling one-click documentation and reducing admin burden for clinical and back-office teams. By surfacing insights at the point of care, Navina reduces reliance on labor-intensive retrospective risk adjustment, streamlining your HCC coding.
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.
Industry partners
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Seamless EHR integration
The most innovativevalue-basedorganizations 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."
"What I would tell other doctors at Privia who haven't used Navina yet is that it's going to be a game changer."
"Once we implemented Navina, our whole workflow completely changed because we had a centralized way to portray information directly to our providers."
"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."
"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."
"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."
"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."
"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."
Who we serve
Award-winning AI built for clinicians and care teams
