Gaps in Coding
Real-Time Clinical Intelligence for Accurate, Compliant Risk Adjustment
Leverage the only solution that delivers near real-time diagnostic code identification directly from validated clinical data from across the nation’s most powerful care collaboration network.
Seamless, Timely and Actionable Clinical Documentation
Every missed or delayed diagnosis code can lead to lost revenue, compliance risk and incomplete patient and member care. With Bamboo Health’s Gaps in Coding solution, you can surface validated and more specific diagnostic codes within hours of discharge to enable proactive gap closure and ensure accurate documentation when it matters most.
Key Benefits
Improved Financial Accuracy & Integrity
Improve diagnostic coding accuracy and reimbursement predictability to help reduce audit exposure and financial risks with a solution compliant with CMS v28 HCC standards.
Seamless Clinical Alignment & Confidence
Close documentation gaps in near real time to streamline care continuity and support more informed, proactive clinical decision-making with clinically validated codes.
Streamlined Operational Efficiency & Collaboration
Reduce administrative burdens by leveraging customizable alerts that are seamlessly integrated into existing EHRs and care management platforms.
-
41%
increase in code identification
-
$4,000
PMPY reimbursement (proxy for increased expected premium expense per CMS for one client’s Medicare Advantage population)
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94%
of codes confirmed by PCPs
-
2.5
validated codes identified per event
Featured Resources
View More Insights
Gaps in Coding for Health Plans
Gaps in Coding for Providers
2025 Annual Impact Report
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