HCC TRIAGE:
World's First Personalized AI Powered Prospective Risk Adjustment Prioritization Platform
Identify High-Value HCC Opportunities with Increased Efficiency & Accuracy
Starting your risk adjustment program with the right subset of members to pursue risk-adjustable, high-value HCC opportunities with undocumented conditions can be a mammoth challenge.
HCC Triage is World’s first personalized AI Powered Risk Adjustment Prioritization Platform that leverages advanced analytical models, and deep learning algorithms to provide our clients with a prioritized list, predicting which members are at risk and have the highest probability of missing conditions. Now proactively schedule Annual Wellness Visits (AWVs) to capture complete risk and better outcomes
The RAAPID Difference
Best in Industry
Class
Our NLP SaaS & Team rated highest in KLAS study
15+ Years of Innovation
Industry Pioneer in cutting edge Healthcare & Explainable AI solutions
Personalized
Solution
We align with your workflows to deliver truly custom solutions
Advanced
Technology
Tested & Trusted Technology on millions of clinical documents
Key Benefits
Identify High Potential Value Charts
Code with confidence as complete audit trail and supporting evidence for HCCs is digitized
Save Time to Analyze Data
Automate manual processes with custom designed solution & real time project visibility of your operations
Accurately Schedule Pre Visit Planning
Effectively identify members to schedule Annual Wellness Visits (AWVs) on focus on preventive care
Improve Financial Performance
Stay on top of individual patients current and long term needs to optimize revenue and improve shared savings
Key Features
Auto Priortized Charts
Our innovative deep Knowledge Graph-based NLP technology reads the previous 18-24 months of patient data to automatically identify high value opportunity charts and patient list
3 Click Chart Review
RAAPID automates & streamlines manual coding workflows in less than three clicks and it is the most innovative way to ace improvement in HCC Coding and RAF scores.
Integrated Codebooks & Resources
The inbuilt codebooks act like a superpower. It has all the coding guidelines, references & knowledge that you need. No more inefficiencies and inaccuracies.
Credos of HCC Triage
Prioritize High Value Charts
Upstream Risk bearing entities need to focus on the right charts by identifying diagnosis gaps. Today, pre-visit teams manually go through hundreds of pages to identify charts. It is time-consuming which overloads the already burned-out clinician teams. HCC Triage utilizes natural language processing (NLP) to accurately read unstructured & structured medical records and identify opportunities to prioritize High Potential value charts
Technology with Contextual Consciousness
Trained on billions of real and diverse clinical notes, HCC Triage is built upon state of the art AI, NLP, Machine Learning (ML) and Deep Learning (DL) models that interprets the context surrounding identified information. We collect and ingest past 24 months data from various sources such as labs, pharmacies, clinical notes, SDOH etc to get longitudinal view of medical records, suspect and chronic conditions to priortize charts
Explainable AI, not a Blackbox
All outputs that the system suggests are backed by Reasoning, Context & Evidence and are presented to the pre-visit care team & physicians. Now Analyze all of the patients’ data and get a sorted patients list based on certain guidelines such as Number of HCCs, Higher RAF score, Specific HCC conditions, number of comorbid conditions, etc
Highly Personalized & Configurable
One size fits all, out of the box AI solution never works in Healthcare. Built on modern cloud architecture and API first approach, we work with our customers to fine tune our models and customize workflows to deliver truly personalized pre-visit prospective risk adjustment solutions. Now Identify the more-sick/at-risk patients, proactively reach out to those patients to provide preventive care, better outcomes and reduce cost
Coding Services Support
Need additional coding resources?
RAAPID provides complete prospective risk adjustment coding services using HCC Triage to streamline your processes. We support you with onshore and offshore coder resources to flexibly meet your requirements and submission timelines.