Martlet Prospective Risk Adjustment - with real-time HCC capture in the provider workflow
Martlet Prospective is a prospective and concurrent coding solution that operates natively within the provider’s EHR —
surfacing HCCs that must be addressed during the patient encounter. As a leader in digital healthcare, Martlet Prospective delivers clear, actionable guidance by processing complex medical information to identify:
• Previously coded (persisting) HCCs requiring revalidation
• Under-coded conditions
• Uncoded HCC gaps
All recommended codes are supported by evidence and subject to review and approval by the health plan — ensuring clinical integrity and compliance.
Provide pre-visit and in-visit recommendations that are evidence linked and MEAT-aware. Empower providers to act quickly while ensuring coding stays defensible and risk score accuracy improves.
Martlet Prospective Risk Adjustment solution is built for payers, providers, and auditors operating in high-compliance, value-based care environments.
Performance Capabilities
Coding Accuracy
+99% accuracy for mapping diagnoses codes to the correct HCC, driving higher reimbursement, fewer deletes, and significantly improved CMS submissions.
Seamless EHR Workflow
Automate risk gap closure directly in the provider's workflow, surfacing HCC that must be addressed. Flexible EHR integration - with the EHR's that your providers use. We collaborate with clients to prioritize where you get the best return on your investment
Expand at Scale
Unlimited scalability for millions of charts. Deploy in your private cloud—AWS, Azure, or Google—and add more GPUs as needed. Truly unlimited processing power, under your control.
Enterprise Performance
Technology Built for Enterprise Scale
Native EHR Workflow
"Runs natively in the Provider's EHR: providing concise, actionable, real-time coding guidance at the point of care".
Evidence-linked + MEAT-aware
Clear “why” and documentation signals to reduce noise and minimize provider friction.
Deployed inside your environment
Cloud/VPC or on-prem options ensure PHI stays under your control at all times.
Compliance & Precision
Built for Trust and Accuracy
Martlet is designed for environments where compliance, precision and transparency are non-negotiable.
More captured value
Find supported, under coded HCCs with evidence packaged for action.
Less wasted review time
Page-level evidence and provenance reduce "PDF hunting" and speed decisions.
Stronger audit posture
MEAT-aware findings help prevent overcoding and improve RADV readiness.
Higher trust output
Every recommendation ships with "why", so reviewers can validate in seconds.
Interoperability
Designed to work with any EHR, from the most prevalent platforms in the industry like Epic, Athenahealth to the smaller vendor platforms.
Deployed inside your environment
Runs in your cloud/VPC or on-prem to keep PHI safe under your control. No external data egress required.
Our Process
Identify & Capture HCC Opportunities Before Submission
Automate data capture, streamline validation, and maintain compliant submissions with the same guided workflow.
Pre-visit gap detection
Start with a tight, prioritized set of risk gaps per member.
- Identify likely supported conditions based on available documentation
- Prioritize by expected impact and documentation strength
- Route work to the right clinic, provider, or team
Point-of-care suggestions
Make it easy to act: concise, evidence-linked, and MEAT-aware.
- Show "what to document" cues (assessment, plan, monitoring, etc.)
- Include provenance so clinicians can validate quickly
- Guardrails to reduce unsupported coding and noise
Close the loop
Turn actions into measurable outcomes and downstream readiness.
- Export outcomes for QA, analytics, and downstream submissions
- Track adoption, lift, and where documentation breaks down
- Improve future suggestions with your feedback and standards
Enterprise Ready
Outputs Built for Scale
Every suggestion is packaged with the context and evidence required for immediate action.
MEAT Evidence
Explicit linkage to Monitoring, Evaluation, Assessment, or Treatment evidence within the clinical record.
Provenance
Direct deep-links to the original note text, date of encounter, and source system for total traceability.
Prioritization
Customized confidence and impact thresholds tailored to fit your organization's unique risk profile.
Designed for Humans
High signal, low noise, so clinicians don't tune it out
Prospective success is adoption. Adoption requires precision, brevity, and defensibility.
MEAT-aware recommendations
Every recommendation is supported by documented Monitoring, Evaluation, Assessment, or Treatment evidence.
Evidence provenance
Complete note/date/source traceability enabling clinicians to validate quickly and confidently.
Prioritization + thresholds
Fit your standards and risk tolerance with customizable prioritization and confidence thresholds.
Deployment control
Deploy on cloud, VPC, or on-premises—PHI stays under your control with flexible deployment options.