Surface Emerging Suspects No Chart or Claim Shows Yet
RAAPID reads clinical indicators in claims, labs, and charts to flag emerging suspects so physicians can act.
EHR Integration
Works with any EHR. Connect through FHIR, HL7, or a simple file transfer.
From a Flag in the Chart to Action at the Visit
RAAPID connects labs, symptoms, and medications across the chart to flag conditions never documented or claimed.
Illustrative
Before the visit · RAAPID
In the record
Hypertension, two eGFR results below 60, no kidney diagnosis.
RAAPID flags
Suspected CKD stage 3, linked to both labs.
Illustrative
At the visit · Physician acts
At the visit
Next step
The Condition Is in the Chart. The Physician Never Sees It.
No Time to Dig Before the Visit
Physicians can't scan years of labs, notes, and medications for every patient. Conditions hiding in the data go unaddressed.
Every January, the Slate Resets
Chronic conditions must be documented again each year. The ones not revisited quietly drop off, and so does the accuracy of your risk scores.
Lists Without Evidence
Lists arrive from every health plan and EHR prompt, most without evidence. Physicians need one list they can act on, with the proof attached.
RAAPID brings one reviewed list to each visit, with the evidence behind every suspect.
Prepare Every Visit Before the Patient Arrives
Charts, claims, labs, and pharmacy data come in; your reviewers curate what reaches each physician.
Charts pulled only where findings are likely
Each condition shown once, hierarchies applied
Review rules and coding guidelines set per program
Batched to each physician's schedule, curated first
Illustrative
Ready
1 suspect
2 gaps
1 gap
1 suspect
1 add
No findings
Give Physicians Answers Inside the EHR
Findings appear in the workflow physicians already use, with one click to the evidence behind each.
Accept and document, or reject with a reason
Anything not addressed carries to the next visit
Nothing coded without a face-to-face visit, per RADV
Rejection reasons improve each physician's list
Illustrative
In your EHR
True suspect
Historical
Close the Loop Before Claims Go Out
RAAPID checks the finalized chart against the claim and the physician’s decisions, before the claim goes out.
Unclaimed and unsupported codes flagged
Missing MEAT routed to CDI
Accepted at the visit but never documented, caught
Acceptance, rejections, and RAF accuracy by physician
Before submission
Ready
Review
Add
Remove
To CDI
WHAT OUR CUSTOMERS SAY
RAAPID gave our organization a clear view of code gaps across our entire population, including conditions no one had documented before. Our physicians now go into each visit with a reviewed list of suspects and the chart evidence behind each one, and nothing is coded unless they confirm it. Closing code gaps is now part of the visit, not a year-end chase.
Explore the Latest From RAAPID
~90K Suspects Across 257K Members in Under Two Weeks
V28 Beyond the 2026 Transition: What Does It Means for Your Risk Adjustment Program?
The Essential Guide to CMS-HCC Model V28
Access the full list of chronic conditions and key updates.
How to Resolve HCC Gaps: Best Practices for Healthcare Providers
Strategies to close HCC gaps, keep coding accurate, and protect reimbursement.
Frequently Asked Questions
Code gaps, unclaimed conditions, unsupported codes, and emerging suspects. You choose what reaches physicians.
A chronic condition never documented or claimed, inferred from labs, symptoms, and medications. Only the physician can confirm it.
No. Start with the step you’re missing and add the rest later.
Charts, claims, labs, pharmacy, and radiology from the last two years plus the current year, via EHR integration or file transfer.
Under two weeks for 257K members at one health plan.
Your pre-care nurses or coders, or RAAPID’s experienced coders. Your choice. Physicians only see the validated list.
Start with one practice of employed providers. Watch the acceptance dashboard, then extend to independent groups with your own adoption data in hand.
See What Your Next Visits Could Look Like
A walkthrough on sample charts, set up your way.
Potential value
Results from one regional provider-owned health plan, in under two weeks. Potential revenue at 50% provider confirmation.
Prospective Risk Adjustment Solution Page
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