Built for independent practices · 1–15 clinicians
Every chronic condition you treat but don’t document to standard makes your panel look healthier than it is — and — by industry benchmarks — costs a small practice tens of thousands a year in Medicare Advantage revenue and denied claims. THS finds those gaps with AI before the visit, so the chart finally shows the work you already do.
Free · No commitment · Your charts, your number — in about 15 minutes
Illustrative example. Your report is built from your charts — de-identified before any AI processing, under a signed BAA. See the full sample report →
Your health plan’s gap reports work for the plan — one payer at a time, from claims, after the visit. THS works for your practice: every payer, before the visit, with documentation built to hold up in an audit. No new system to learn, no staff to add.
The problem
Conditions you’re actively treating — the CKD sitting in the labs, the diabetes complication behind the insulin — never make it onto a claim. On Medicare Advantage panels that’s real revenue, and it resets to zero every January 1st.
Diagnoses that are coded but not documented to MEAT standard get denied now — or clawed back in a RADV audit years later. Regulators collected nine-figure settlements in 2026 for exactly this.
THS works both leaks at once: capture what’s real, defend what’s documented — and prove it with evidence.
What THS does
One HIPAA-compliant platform that reads the chart the way an auditor would — before the visit, not after the denial.
Days before each appointment, AI cross-checks meds, labs, and history against what’s actually documented — and hands your physician the short list while the patient is still in the room. CMS-HCC V28, built for Medicare Advantage panels.
Every diagnosis is checked against MEAT evidence before it ships. What doesn’t hold up gets flagged — so you’re never the practice explaining itself in a RADV audit.
Coverage, medical necessity, and coding issues get caught before the claim leaves the building. When one slips through, the appeal drafts itself from the chart.
Notes become accurate ICD-10 and E/M codes automatically, with a human confirming the judgment calls — your coder’s best day, every day.
Physician queries are written to be answered in under 30 seconds on a tablet. No codes, no dollar figures, no homework — just a clinical question. Doctors never see the financial side. Ever.
Have a coder? THS makes them faster. Don’t? A THS billing-and-coding specialist runs it end to end. Short-staffed isn’t a blocker — it’s who we built this for.
How it works
A secure FHIR connection to athenahealth or eClinicalWorks, covered by a signed BAA. Your workflows don’t change. Nothing is ripped out or replaced.
Every upcoming visit is scanned for undocumented conditions, missing evidence, and denial risk. Patient data is de-identified under HIPAA Safe Harbor before any AI model touches it — by default, not by setting.
Physicians answer 3-tap queries; your coder (or ours) confirms; the claim leaves the building already documented, coded, and defensible — with a 10-year audit trail behind it.
No new software for physicians to learn. No IT project. No enterprise contract.
Proof
We were treating complex Medicare Advantage patients and getting paid like a walk-in clinic. THS started flagging the HCCs hiding in our own charts — the CKD staging sitting in lab results, the diabetic complications behind the med list — before the patient even arrived. Our documentation finally reflects how sick our panel really is, our RAF accuracy has climbed with it, and every single one is backed by evidence I can defend. The queries take me about ten seconds between patients.
I didn’t need another dashboard — I needed the coding to stop eating our evenings. THS turns our notes into clean claims automatically on eClinicalWorks, flags what needs a human, and the denials rework has simply stopped piling up. It’s the first tool that made the practice easier to run instead of adding one more login. My staff would riot if I took it away.
Free tools
Four free lookups running on the same licensed CMS FY2026 dataset the THS engine validates against. No login. No email gate. Bookmark them, share them with your coder.
Any ICD-10 code → its V28 category and PY2026 RAF weights, all seven segments.
Open free →Paste a problem list. Hierarchies applied, coefficients summed — the condition RAF.
Open free →Base and effective status — with the CMS exclusion pairs static lists miss.
Open free →FY2026 weights, GMLOS, and the severity split one documented MCC changes.
Open free →Refreshed every October 1 when CMS updates the fiscal year. Explore all free tools →
Risk-free
Pick either path — both start with one 15-minute call, and neither costs you anything.
We run a previous 30-day period of your charts through the engine — under a signed BAA, fully HIPAA-compliant — and hand you a report showing, in dollars, the diagnoses that slipped through and the documented ones that wouldn’t survive an audit.
Your charts. Your number. No commitment.
Turn THS on for your upcoming visits and watch it work in your live workflow for a month — pre-visit gap flags, 3-tap physician queries, clean claims out the door.
If it doesn’t earn its keep, walk away.
If the number isn’t worth a meeting, delete our email. But it usually is.
And when you’re ready: our flagship model only pays us out of new, defensible revenue we help you capture. If we don’t find it, you don’t pay. No six-figure contracts. No percent-of-everything tax.
Security and compliance
Bring your compliance officer to the call. We like those meetings.
Questions we always get
No — and the architecture makes it impossible to drift there. THS only surfaces conditions with clinical evidence in the chart, every query lets the physician say “not present,” at-risk codes get removed, and doctors never see financial data. Accuracy cuts both ways; that’s what makes it defensible.
No. THS connects to athenahealth and eClinicalWorks over FHIR and works alongside them. Your notes, your templates, your billing flow — untouched.
Good — keep them. Those are claims-derived and cover that plan’s members only, and they tell you what’s missing, not whether your note would survive the audit. We work your whole panel, before the visit, and make each condition MEAT-defensible.
Your ACO’s app is great at telling you which patients matter for your contract. We make the documentation on those visits complete and defensible — MEAT evidence, compliant queries, accurate E/M — which is exactly what protects your shared savings. It runs under your ACO’s program, not instead of it.
Scribes capture what was said — brilliantly. They can’t flag what was never said. We scan the chart before the visit so the conditions being treated actually get addressed and documented. Keep the scribe; we plug in on top.
Then don’t — a THS billing-and-coding specialist can run coding and claims for you. If you do have staff, THS just makes their queue shorter. Either way, physicians only ever see 3-tap questions.
HIPAA-compliant end to end: signed BAA before any data moves, PHI de-identified under Safe Harbor before any AI processing, local OCR, role-based access, MFA, and a 10-year audit log. Happy to walk your compliance officer through it on the call.
Yes, differently. The RAF revenue story is strongest in Medicare Advantage risk or shared-savings arrangements; pure fee-for-service practices see the value in cleaner coding, fewer denials, and faster payment. The 15-minute call sorts out which story is yours.
The look-back is free. Our flagship model is performance-aligned — we’re paid a share of new, defensible revenue we help capture, so if we don’t find anything, you don’t pay. Flat, predictable options exist too. Exact numbers get built on your data in the demo — not guessed at on a website.
Get started
Tell us a little about the practice and we’ll come prepared — you bring nothing. We’ll answer the compliance questions and set up your free look-back if you want it.
Risk-free · HIPAA-compliant · No EHR change
Already a customer? Sign in →