MACHINE LEARNING POWERED

AI-Powered Risk Adjustment Coding

Optimize RAF scores with AI-enhanced HCC coding, machine learning for HEDIS quality measures, and intelligent ACO abstraction that ensures accurate risk score capture

Maximize Your Risk Adjustment Revenue

Improved RAF Scores

Accurate HCC capture for optimal reimbursement

Quality Compliance

Meet HEDIS and STAR rating requirements

Chronic Condition Capture

Complete documentation of all conditions

Audit-Ready

Compliant coding with full documentation

Our Risk Adjustment Services

HCC Coding

  • Hierarchical Condition Category coding
  • RAF score optimization
  • Chronic condition documentation review
  • Medicare Advantage & ACA plan support

HEDIS Quality Measures

  • HEDIS measure abstraction
  • Quality gap identification
  • STAR rating improvement strategies
  • Care gap closure support

ACO Abstraction

  • MSSP quality measure abstraction
  • Value-based care reporting
  • Shared savings program support
  • Population health analytics

RAF Score Optimization

  • Retrospective chart review
  • Condition recapture analysis
  • Provider education & feedback
  • Risk adjustment factor trending

Ready to Optimize Your Risk Adjustment?

Capture every condition, maximize your RAF scores, and ensure compliance with our specialized risk adjustment coding services.

Schedule a Consultation