Cybexys, Inc.
Hospitals and Health CareFlorida, United States2-10 Employees
Cybexys, Inc. is a Miami-based company operating in the hospitals and health care sector. Its CARAT system uses artificial intelligence to derive the most accurate diagnostic codes supported by a provider's clinical documentation. These codes feed risk scores that influence payments to Medicare Advantage plans, MSOs, and ACOs, as well as Medicaid programs and risk adjustments for ACA marketplace plans. Inadequate documentation and coding can produce erroneous risk scores, leading to underpayments and misallocation of tens of billions of dollars annually. CARAT identifies omissions in real time during each provider-patient encounter, enabling prospective corrections by providers and health plans, and it also automates retrospective reviews to lessen the manual effort across plans and providers.