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. Rafter 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
In an ACO? See how Rafter works for ACO practices →
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. Rafter 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.
Your ACO’s tools are built for its contract. We cover what they leave to you: visit coding, your Medicare Advantage and commercial patients, payer rules and claims. One flat price per clinician, with no share of your savings.
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.
Rafter works both leaks at once: capture what’s real, defend what’s documented — and prove it with evidence.
What Rafter 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? Rafter makes them faster. Don’t? A Rafter 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.
Free tools
Four free lookups running on the same licensed CMS dataset the Rafter 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 Rafter 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, there are two ways to pay. In an ACO? One flat price per clinician, with no share of your savings. Not in an ACO? Pay only 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. Rafter 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. Rafter 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. That protects the benchmark your ACO is measured against. Rafter works alongside your ACO, not instead of it, at a flat price per clinician with no share of your savings.
One flat monthly price per clinician that covers every payer. It doesn’t change with what we find, and a clinician who bills fewer than 150 visits in a month is half price.
No. Your ACO shares savings with you, and we stay out of that. Our price isn’t tied to diagnoses, risk scores or collections.
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 Rafter billing-and-coding specialist can run coding and claims for you. If you do have staff, Rafter 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. On Traditional Medicare, HCCs pay nothing directly, so we don’t price them. The money is in the visit: E/M level, G2211, clean claims, fewer denials. HCC findings on those patients are counted, and complete documentation protects the benchmark your ACO is measured against.
Yes, differently. The RAF revenue story is strongest in Medicare Advantage; 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. After that there are two ways to pay. In an ACO? A flat price per clinician, with no share of your savings and no fee tied to HCCs. Not in an ACO? A performance plan: we’re paid a share of new, defensible revenue we help capture, so if we don’t find anything, you don’t pay. Exact numbers get built on the call, 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
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