Intus Revenue
Integrity System
The care you deliver is complex. Getting
reimbursed doesn’t have to be.
IRIS simplifies risk adjustment through data integration, AI, and expert coding—helping PACE programs capture every condition and maximize reimbursement.
Smarter Decision Making
Expert-guided risk adjustment,
powered by AI
IRIS blends cutting-edge AI with expert onshore risk adjustment consultants. Nothing is missed, everything is validated, and your assessments are accurate and defensible.
AI uncovers missed coding opportunities and flags potential conditions.
Risk adjustment consultants validate PEP, coding, and compliance
Providers receive relevant conditions prior to each comprehensive assessment
Drop the generic
Unified, purpose-built for PACE
IRIS is purpose-built for PACE and brings fragmented data together for clean workflows and coordinated care.
Integrates clinical and eligibility data across payment models
Relevant HCCs and RxHCCs surfaced in real time, directly within provider workflows
Stay Ahead of the curve
Financial stability without the fire drills
From monthly submission files to real-time analytics, IRIS helps you stay ahead of errors, audits, and revenue disruption
Accurate forecasting and monthly reconciliation are built-in
CMS-ready submission files prepared for you, on time and on spec
Training and provider education are targeted and proactive, based on trends
Capture every dollar you
deserve—compliantly,
accurately, and with ease
How it works
Integrated data
AI + expertise
Provider-ready insights
Real-time analytics
See IRIS in action
Jul 18, 2025
All in on PACE risk adjustment accuracy: Inside Great Lakes PACE’s early wins with IRIS
FAQ
How does IRIS help capture all relevant conditions for risk adjustment?
IRIS uses Natural Language Processing (NLP) to scan clinical and claims documentation and highlights potential Hierarchical Condition Category (HCC) codes before each encounter. NLP recommendations are reviewed by experienced risk adjustment consultants and then surfaced to providers for review before the assessment.
How does IRIS work with CareHub or other EMRs?
If you are using CareHub, the integration is seamless. If you are using another EMR we will work with your team to integrate and surface the right insights through our platform.
How does IRIS support compliance and ethical coding?
IRIS is designed to ensure accurate and defensible documentation. The platform emphasizes ethical coding practices, ensuring accurate payment for complex care that is being provided.
How does IRIS support provider education and workflow optimization?
Risk adjustment consultants identify opportunities for provider training or retraining to ensure that best practices are integrated into daily workflows, enabling quality improvements over time.
What makes IRIS different from retrospective audits or spreadsheets?
Unlike traditional, sample-based audits, IRIS audits 100% of the Medicare census twice a year. If you are also using CareHub, IRIS will present insights directly in the participant chart.
What does IRIS implementation look like? Who should be involved?
Implementation includes in-person training, tailored 1:1 coaching, and ongoing support. IntusCare encourages full team participation, not just providers, because everyone plays a role in risk adjustment success.
Will IRIS support teams in adapting to CMS model changes like the move from v22 to v28?
Yes. IRIS is regularly updated to reflect CMS changes, including the latest change in the HCC model. The system will help teams adapt to ensure you are reimbursed accurately through the transition period.
See how IRIS can help you ensure accurate reimbursement.
Schedule a demo to see how IRIS helps you get the credit you deserve, simplifies compliance, and supports continuous improvement.
