World's First Personalized AI Powered Risk Adjustment Coding & QA Platform
Intelligently Handle Large Volumes of Charts for Coding & Review
A well-crafted risk-adjustment solution is pivotal to properly lining up incentives and protecting risk-bearing healthcare providers and payers. Today, Risk Adjustment programs, including but not limited to, Medicare Advantage (MA), Affordable Care Act (ACA), Accountable Care Organizations (ACOs & ACO Reach), and Medicaid face challenges in getting timely access to clinical charts, claims, and maintaining highest standards of Risk adjustment coding.
RAAPID’s AI-powered Coding & QA platform help risk adjustment teams scale their chart review processes to capture complete risk and have greater understanding and visibility into their members’/patients’ clinical conditions, symptoms, medications, etc.
The RAAPID Difference
Best in Industry
Our NLP SaaS & Team rated highest in KLAS study
15+ Years of Innovation
Industry Pioneer in cutting edge Healthcare & Explainable AI solutions
We align with your workflows to deliver truly custom solutions
Tested & Trusted Technology on millions of clinical documents
Increase Coding Productivity & ROI
A consolidated view of all records with Auto Code Suggestions helps coders review the chart in less than 3 clicks
Accurately Capture HCC Codes
Enhance your accuracy with a complete audit trail and MEAT evidences (or gaps) for all identified HCCs
Streamline Project Operations
Automate manual processes with custom-designed solutions & real-time project visibility of your operations
How HCC Capture Works
How HCC Capture Can Expedite Your AI & Automation Journey
Fostering Risk Adjustment Performance
As we transition to value-based care (VBC) and risk-based contracting, health plans and providers’ financial performance is linked with risk adjustment. HCC Capture utilizes natural language processing (NLP) to accurately read unstructured & structured medical records to better identify risk, and improve the Efficiency & ROI of Risk adjustment programs
Technology with Contextual Consciousness
Trained on Billions of real and diverse clinical notes, HCC Capture is built upon state-of-the-art AI, NLP, Machine Learning (ML), and Deep Learning (DL) models that interpret the context surrounding identified information to get a better clinical understanding
Explainable AI, not a Blackbox
We believe in explainable AI meaning all the output that the system suggests is backed by Reasoning, Context, and Evidence that are presented to the end users. It is a “Human in a loop” solution that frees HCC Reviewers & QA from manual processes and helps them focus on things that really matter – Interpretation & Decision making
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 solutions
Coding Services Support
Need additional coding resources?
RAAPID provides complete risk adjustment coding and QA services using HCC Capture to streamline your processes. We support you with onshore and offshore coders to flexibly meet your requirements and submission timelines.