1
Read the chart
Problem lists, coverage, labs, vitals and tomorrow’s schedule, through eCW’s FHIR API. Enrollment comes from the practice’s own export and is kept current from claims.
For eClinicalWorks practices and their ACO
Bring back what strayed.
Lariat reads every chart in your practice, compares it with what was billed and what the quality measures require, and puts each gap in front of the person who can close it. The night before the visit, inside eCW, in the words a nurse would use.
Live at one Texas practice on 16 providers. Approved eCW app, read and write scopes, HIPAA-eligible hosting under a signed BAA.
9
deterministic rules, no AI in the loop
36
eCW FHIR resources read through one approved app
1
telephone encounter per patient, written back into eCW
0
claims submitted or diagnoses changed by software
How it works
Three steps, every night
2
Reconcile it
Against billing, month by month: wellness visits owed, care management enrolled but never billed, level billed against level supported, the quality measures an ACO is scored on.
3
Put it in front of someone
Each finding becomes a row a person can act on: done, dismissed with a reason, or sent into eCW as a telephone encounter to the visit’s provider, the night before.
What it finds
The gaps your reports can’t show you
eCW will tell you how many care management claims failed. It will not tell you which patients, or why. Lariat sorts every one: billed CCM instead, correctly; Medicare Advantage, waiting on your contract; no consent on file; or no claim of any kind, which is the money.
- Wellness visits due. A Medicare patient in the chair with no annual wellness visit in twelve months. No coinsurance, every year.
- Eligible, not enrolled. Two or more chronic conditions, Medicare, no program, seen in the last ninety days.
- Enrolled, no payment found. Sorted by whether anything is owed, checked against payments, not the chart’s summary field.
- Level accuracy and coding shift. Level one with chronic disease is money left; level three without QMB is exposure; a level moving thirty points in a month is a question.
- Diagnosis specificity. E11.9 beside its own documented complications. A suggestion for the next visit, never a change.
Who it’s for
Two customers, one chart
The physician-owner
You already pay a nurse to read tomorrow’s schedule and type reminders into the chief complaint. She gets to a quarter of the visits. Lariat gets to all of them, leaves her notes alone, and hands you a queue with dollar values instead of a spreadsheet.
- Work queues per provider, with Done, Dismiss and Send to eCW
- Every finding with its evidence, so a disputed row settles in one click
- A monthly report you can forward as a link, aggregates only
The ACO
Your claims feed sees the visit and not the value. Lariat reads the A1c that was resulted in the office, the uACR that was never ordered, the blood pressure that scores, and shows every member practice in the same terms, with denominators on the page.
- MIPS 001, 236 and 488 from the chart, met or gap, with the evidence to attest
- Patients as random tokens with age and month-level dates; never a name
- Penetration, leakage and coding stability per practice, side by side
Security
Built like the chart it reads
HIPAA-eligible hostingRuns in a dedicated AWS account under a signed Business Associate Addendum. Patient data on an encrypted filesystem with a customer-managed key; every access logged with tamper-evident audit trails.
Approved eCW appReads through eClinicalWorks’ certified FHIR interface with the scopes the practice granted. Writes one thing: telephone encounters, to a provider the practice names.
Least privilege, by designPractice staff see their patients. ACO staff see tokens. Every view of a practice’s figures by a signed-in person is recorded.
Nothing decided by a modelEvery rule is deterministic and cites the claim, roster row or lab result it came from. No large language model touches a chart. Nothing submits a claim or changes a diagnosis.
See a real month before you see a sales deck
The sample report is a real practice’s July, aggregates only, with a guided walk for a physician and one for an ACO director.