HCC CAPTURE:

Customized AI-POWERED RISK ADJUSTMENT CODING & QA PLATFORM

CUSTOMIZED AI-POWERED RISK ADJUSTMENT CODING & QA PLATFORM
Risk Adjustment Technology - HCC Capture

Intelligently Handle Large Volumes of Charts for Coding & Review

A exquisite risk-adjustment solution is crucial to accurately 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
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

Increase Coding Productivity & ROI

Review the chart in less than 3 clicks with a consolidated view of all records and Auto Code Suggestions

Accurately Capture HCC Codes

Enhance your accuracy with a complete audit trail and MEAT evidences (or gaps) for all identified HCCs

Streamline Project Operations

Get real-time project visibility of your operations and automate manual processes with custom-designed solutions

Key Features

Auto Capture HCC codes with MEAT

RAAPID's deep Knowledge Graph-based NLP technology reads the charts just like any human coder and automatically suggests accurate risk adjustment codes (ICD-10 and HCC) along with MEAT evidences and gaps.

Auto Capture HCC codes with MEAT
3 Click Chart Review

3 Click Chart Review

Automates & streamlines HCC chart review workflows in less than three clicks to improve RAF scoring opportunities.

Integrated Codebooks & Resources

No more inefficiencies and inaccuracies. RAAPID's inbuilt codebooks have all the coding guidelines, references & knowledge that you need.

Chart Review

How HCC Capture Works

How HCC Capture Can Expedite Your AI & Automation Journey

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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 is powered by natural language processing (NLP) to read unstructured & structured medical records. This way accurately identify risk, and improve the Efficiency & ROI of Risk adjustment programs.

Technology with Contextual Consciousness

Trained and Tested on billions of real and diverse clinical notes, HCC Capture is built upon state-of-the-art AI, NLP, ML, and DL models that explain the context surrounding identified information for a better clinical understanding.

Clinical Contextual Awareness
Knowledge of Various Domains

Explainable AI, not a Blackbox

Healthcare needs customized AI solutions. Considering this, RAAPID is built on modern cloud architecture and API first approach. We work with our customers to fine-tune our models and customize the workflows.

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.

Highly Scalable & Configurable

Need Consistency in HCC Documentation

RAAPID provides optimum coding accuracy and QA services using HCC Capture to increase HCC coding productivity and streamline your processes. We support you with onshore and offshore coders to flexibly meet your requirements and submission timelines.

Make the Most out of RAAPID's AI Risk Adjustment Technology

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Years of Healthcare & AI Experience
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Healthcare Clients Served
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Return On Investment
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Increased Efficiency And Productivity
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Complete, Defensible Risk Scores
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Optimized Reimbursement

Customer Insights