Company Performance Metrics
- Jeff Sage: Chief Product Officer and Co-Founder
- Tim Michaels: Founder and CEO
HealthRate provides healthcare organizations with auditing, reporting, and compliance services focused on risk adjustment and coding accuracy. The company evaluates health plan and provider documentation to identify risk score errors, payment inaccuracies, and documentation gaps. Its platform aggregates encounter and chart data, applies rules-based
checks, and generates detailed quality and compliance reports for Medicare Advantage and other risk-bearing programs. HealthRate supports retrospective and prospective reviews, including validation of HCC coding, diagnosis capture, and medical record completeness. Services include provider education resources to improve documentation practices and reduce audit exposure. The company also assists customers with ongoing monitoring of RAF performance, identification of potential over- and under-payments, and preparation for external audits and regulatory reviews.