HCC COMPASS:

World's First Personalized AI Powered Risk Adjustment COding & Audit Platform

Solution Page 1 Risk Adjustment Technology HCC Compass 1

Protect your Revenue by Smartly Reducing RADV Audit Risk

There is a major crackdown on fraudulent or inaccurate risk-adjustment scores, with an increased number of RADV audits and OIG audits. Negative media attention and Lawsuits damaged the reputation. There is a need to shift processes to look both ways, stay compliant and get ahead of audits before they happen.

HCC Compass is World’s first personalized AI Powered Risk Adjustment Coding & Audit Platform. Now leverage natural language processing (NLP) and deep learning (DL) and look at clinical charts and claims both ways (ADDs and DELETEs) to capture a complete, defensible picture of member/patient risk.

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 Compliance

Code with confidence as complete audit trail and supporting MEAT Criteria & evidence for HCCs is digitized

Capture HCCs Looking Both Ways

Auto suggested ADDS "New HCC codes" and DELETES "Undocumented HCC codes" along with MEAT Criteria

Enhance Coding Efficiency & ROI

Consolidated view of all records with Auto Code Suggestions helps coders review chart in less than 3 clicks

Streamline Project Operations

Automate manual processes with custom designed solution & real time project visibility of your operations

Key Features

Auto suggested ADDs and DELETEs

Our innovative deep Knowledge Graph-based NLP technology reads the charts to automatically suggests ADDS (net new HCC codes) and compare it with claims data to suggest DELETEs (undocumented HCC codes)

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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.

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How HCC Compass Works

Credos of HCC Compass

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Cut Back on Audit Risk of Your Program

There is a major crackdown on fraudulent or inaccurate risk adjustment scores with increased CMS risk adjustment data validation (RADV) audits, OIG audits and DOJ audits. HCC Compass utilizes natural language processing (NLP) to accurately read unstructured & structured medical records to substantiate risk, comply with federal regulations and minimize audit risk

Technology with Contextual Consciousness

Trained on billions of real and diverse clinical notes, HCC Compass 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. Now easily identify upcoded (overclaimed conditions), under-coded (unclaimed conditions), and properly coded conditions

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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 end users. It is a “Human in the loop” solution that frees HCC auditors 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 audit solutions

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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.

Make The Most of a World Class 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