AI-powered risk adjustment for accurate RAF scores and clinical insights
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Tracked since2026
0 reviews trackedThe Bottom Line
Entry price
Free plan available, paid tiers above
Biggest pro
Significantly improves accuracy of RAF scores and risk adjustment.
Biggest con
Requires integration with existing EHR and HIE systems, which may have complexities.
TL;DR - Keebler Health
- AI-driven platform for accurate risk adjustment and RAF score capture.
- Integrates all patient data, including unstructured sources, for a complete patient record.
- Provides audit-ready evidence and clinical decision support to improve care and compliance.
Pricing: Free plan available
Best for: Growing teams
What is Keebler Health?
Keebler Health is an AI-first risk adjustment platform designed to enhance the accuracy of Risk Adjustment Factor (RAF) scores and provide robust clinical decision support. It leverages a next-generation AI transformer to process both structured and unstructured data, including faxes, PDFs, and consult notes, to build a comprehensive, whole-patient record. This approach ensures that RAF scores accurately reflect patient complexity and provides source-linked evidence for audit readiness.
The platform streamlines critical healthcare workflows for CDI, Coding, and Audit Teams by identifying missed HCCs, automating data ingestion for chart reviews, and delivering actionable insights directly into clinician workflows. Keebler Health is built to adapt to evolving regulatory requirements, such as CMS-HCC Model V28, and offers rapid integration capabilities, functioning as a "HIE of HIEs" to unify disparate patient data sources.
Available on: Web
Pros & Cons
Pros
- Significantly improves accuracy of RAF scores and risk adjustment.
- Unifies all patient data, including hard-to-access unstructured information.
- Provides audit-proof evidence for every code and RAF lift.
- Automates and streamlines time-consuming chart review processes.
- Offers real-time clinical decision support to reduce clinician burden.
Cons
- Requires integration with existing EHR and HIE systems, which may have complexities.
- Reliance on AI may necessitate understanding of its reasoning layer for full trust.
- Specific benefits for smaller healthcare entities versus large systems are not detailed.
Key Features
AI-Driven Risk AdjustmentComprehensive Record Capture (Structured & Unstructured Data)Audit-Ready HCC Coding with Source EvidenceAutomated Chart Review WorkflowClinical Decision SupportCMS-HCC Model V28 AdaptationFHIR-first Native EHR IntegrationsHIE Integrations for Incomplete Patient Data
Pricing
Freemium
Keebler Health offers a generous free tier with optional paid upgrades for advanced features.
Reviews
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Keebler Health FAQ
How does Keebler Health improve the accuracy of RAF scores?
Keebler Health utilizes a next-generation AI transformer to process both structured and unstructured patient data, including faxes and consult notes. This comprehensive data analysis builds a whole-patient record, ensuring that Risk Adjustment Factor (RAF) scores accurately reflect patient complexity.
What kind of user benefits most from Keebler Health?
Keebler Health is designed to benefit CDI, Coding, and Audit Teams within healthcare organizations. It streamlines critical workflows by identifying missed HCCs and automating data ingestion for chart reviews, enhancing efficiency and accuracy for these specific roles.
How is Keebler Health priced?
Keebler Health offers a free tier for users to get started. For more extensive usage and additional features, paid plans are available.
Can Keebler Health integrate with existing healthcare IT infrastructure?
Yes, Keebler Health is built for rapid integration with existing EHR and HIE systems. It functions as a 'HIE of HIEs' to unify disparate patient data sources, although integration complexities may arise.
How does Keebler Health compare to Nuance DAX in processing patient data?
Keebler Health leverages a next-generation AI transformer to process both structured and unstructured data, such as faxes and PDFs, to build a comprehensive patient record. This approach ensures all available information contributes to accurate RAF scores and clinical insights.
What are the main limitations to consider when adopting Keebler Health?
A primary limitation is the potential complexity involved in integrating Keebler Health with existing EHR and HIE systems. Additionally, reliance on AI may necessitate understanding its reasoning layer to build full trust in its outputs.
Does Keebler Health provide support for evolving regulatory requirements?
Yes, Keebler Health is built to adapt to evolving regulatory requirements, such as the CMS-HCC Model V28. It ensures that the platform remains compliant and effective as healthcare regulations change.
Source: keebler.health