- Prospective Risk Adjustment
Experience our collaborative service model designed to transforming reimbursement and patient care
Enhanced Patient Care and Timely Detection
Identify risks, Solve Care Gaps with confident decisions
Identify care gaps proactively, maximize coding accuracy, and deliver data-driven care plans before patient visits
Defensible quality
Offers Audit Trail of evidence so tracking clinical data and its mapping to HCC codes becomes easy.
Operational efficiency
Real-time Reporting results in optimized teamwork & better utilization of time & resources.
Improved Productivity Ensures Timely Submission
Automated extraction & enriching of clinical data saves time & allows to focus on other core work areas.
Why Us
Ensure compliance with CMS regulations while preserving accurate payment integrity.
Utilizing outsourced pre-visit planning services offers value-based care organizations multiple benefits, including cost savings, streamlined workflows, and enhanced clinical coding & documentation quality, resulting in improved patient outcomes & Compliant ROI
Suspect Diagnosis Identification
Our suspect analytics identify members for risk-adjustable but undocumented conditions, improving patient care.
Proactive HCC Coding Support
Our prospective coding enhances accuracy in capturing patient conditions, improving risk score calculations.
Personalized Care Planning
Our AI solution identifies risks, suggests prevention, and refines care strategies.
Suspect Diagnosis Identification
Our suspect analytics identify members for risk-adjustable but undocumented conditions, improving patient care.
Proactive HCC Coding Support
Our prospective coding enhances accuracy in capturing patient conditions, improving risk score calculations.
Personalized Care Planning
Our AI solution identifies risks, suggests prevention, and refines care strategies.
Key Benefits for Providers & ACOs
Why Partner with RAAPID for Your Prospective Risk Adjustment Needs?
Efficient Chart Preparation And Data Integration
Facilitated Transitions Between Reviewers and Supervisors
Simplified Processes For Providers
Focused Chart Review Efforts On Critical Encounters
Identify high-risk patients early to Prioritize HCC coding strategies
Technology Spotlight
Clinical NLP powered prospective solution engineered to precisely streamline risk adjustment process
Leveraging ML/DL algorithms, our prospective risk adjustment technology enhances documentation precision and efficiency by proactively identifying suspect conditions. This automation streamlines patient chart audits, ensuring HCC and ICD-10-CM codes are accurately documented according to MEAT criteria and federal guidelines.
Clinical NLP
Our Clinical NLP algorithms can quickly analyze text and pull out vital info so you can focus on caring. Plus, fewer coding errors mean more accurate healthcare documentation.
OCR in Healthcare
Our Intelligent OCR platform contributes to the summarization of patient records enabling healthcare professionals to quickly review and comprehend essential details during patient consultations.
Healthcare APIs
Our Smart APIs securely link clinical teams, facilitating seamless transmission of health data across various platforms. Connect with real-time results and hospitals, pharmacies, patient portals, and labs.
Neuro-Symbolic AI
Our Neuro-Symbolic AI is adept at identifying inefficiencies and problems in your current coding methods, including under- and over-coding resulting in guaranteed Compliant-ROI
Success Stories
Real-World Success Stories with Proven Results
Explore our services
Prospective Solutions to Revolutionize Payer Risk adjustment Operations
We consider ourselves as an integral part of your team. Our advanced technology and collaborative approach are committed to enhancing your prospective (“point of care”) risk adjustment practices, ensuring precise reimbursement, and ultimately, improving patient outcomes.
Leverage the proficiency of external coding specialists focused on extracting and validating ICD-10-CM and HCC diagnosis codes from medical records. Physicians can diminish risk and improve patient care by collaborating with adept coding review services versed in HCC Medicare regulations.
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Point-of-care codingEnables coding at the time of patient encounter, ensuring accuracy and efficiency in HCC documentation. -
Compliant workflowsIncorporates coding practices aligned with regulatory standards, ensuring adherence to compliance requirements.
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Low claim denialsMinimizes claim rejections and denials by ensuring accurate and compliant coding practices, leading to improved financial outcomes. -
Proactive CareFacilitates early identification of high-risk patients, allowing for proactive interventions and care management strategies.
We Are Always Ready To Support & Clarify All Your Queries
Let's Partner & Embark On A Promising & Collaborative Journey
Leave all your technological concerns behind – we will take care of it. Let’s move forward from Risk to Revenue