Prospective Review Services For Value-based Care Organizations

Tap into the expertise of external coding professionals who specialize in extracting & verifying ICD-10-CM & HCC diagnosis codes from medical records.

ICD-10 & Hcc risk adjustment coding technology

Prospective & Concurrent Review Services For VBC Organizations

Outsourcing prospective & concurrent coding review services tasks can bring a multitude of benefits to a provider in their patient encounter. Firstly, it allows for the delegation of time-consuming administrative work to trained HCC coders, freeing up staff members to focus on providing top-quality patient care. Secondly, outsourcing helps improve efficiency and accuracy in documentation and coding by ensuring that all necessary information is captured and analyzed consistently.

Moreover, outsourcing these services can help reduce costs associated with hiring additional staff or investing in technology infrastructure. This gives organizations greater financial flexibility to invest in other areas such as patient engagement programs or improving healthcare outcomes. 

Finally, outsourcing pre-patient-care visit planning tasks can offer an opportunity for improved compliance with CMS/HCC regulatory requirements as well as alignment with industry best practices. By partnering with experienced prospective & concurrent coding review service providers who have deep knowledge of HCC Medicare regulations and CMS/HCC guidelines on medical necessity criteria, physicians can mitigate risk while delivering high-quality patient-centered services.

By leveraging outsourced pre-visit planning services, value-based care organizations can gain numerous advantages ranging from cost savings to improved workflow efficiencies and enhanced quality of clinical documentation that ultimately drive better outcomes for patients.

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Our Prospective & Concurrent Review Services

For Healthcare Providers

With comprehensive patient data analysis easily personalize care plans before each care visit or annual wellness visits.

Why RAAPID For Your Prospective & Concurrent Coding Review Services

Expert medical coders

Expert HCC coders

Ensure valuable insights into regulatory compliance requirements and best practices to optimize revenue capture without compromising quality patient care or violating legal guidelines.

AI-based technology

NLP-powered code review

This technology uses machine learning technology that can easily detect common coding errors such as syntax mistakes, incorrect variable usage, and logical inconsistencies.

Medical Data Usage Protection Measures

Security | Compliance | Platform Partners


SOC 2® Type 2

We undergo audits and assessments to maintain our SOC 2 certification status and demonstrate our commitment to delivering high-quality services.

HIPAA Compliant


Not only protects patient's rights but also helps healthcare organizations avoid potential legal ramifications associated with violating these regulations.


Platform Partners

Adheres to security measures such as two-factor authentication, and intrusion detection systems to ensure confidentiality of patient data.

Client Testimonials

FAQs – Prospective & Concurrent Coding Review Services

Outsourcing prospective & concurrent coding review services can bring numerous benefits to your business. One of the biggest advantages is that it saves time and money. By outsourcing, you don’t have to spend resources on recruiting, training, and managing an in-house team for coding review. You also get access to a larger pool of skilled professionals who are experts in their field.

Another benefit of outsourcing is that it allows your team to focus on core business activities rather than spending time on non-core functions like coding review. This ultimately leads to increased productivity and efficiency within the company.

Moreover, outsourcing provides flexibility as you can scale up or down depending on project requirements without having to worry about hiring additional staff or laying off employees during slow times.

In addition, outsourced providers often have specialized technology infrastructure which means they can provide better quality service at a lower cost than if you were doing it yourself. Finally, outsourcing allows you to tap into global talent pools which means that you can leverage cultural diversity and language skills as well as take advantage of different time zones for 24/7 support.

Overall, there are many compelling reasons why businesses should consider outsourcing prospective & concurrent coding review services.

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The ideal time to outsource such services can vary depending on the company’s size, budget, and needs. Often outsourcing becomes necessary when there is a lack of in-house expertise or resources.

If you are experiencing increased pressure to meet deadlines while also maintaining quality standards then it may be time to consider outsourcing prospective & concurrent review services. Outsourcing will help increase efficiency thereby reducing cost as well as turnaround times.

Another scenario could be if your team is faced with an unexpected workload that overrides their capacity forcing them into working overtime which leads to burnout and workplace stress. Outsourcing allows for additional support without compromising employee welfare.

Finally, some companies opt for outsourcing simply because they want access to specialized skills or technological advances not available in-house. This move saves money since hiring new staff members and training them takes time and requires additional resources.

In conclusion, deciding when the right time to outsource depends on various factors unique to the organization’s needs but one thing remains constant when done correctly; outsourcing provides much-needed relief resulting from improved productivity without sacrificing quality workmanship.

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1. Look for a company with experience in your industry – It’s important to find a review service that understands your business and the unique challenges it faces.

2. Check their reputation – Make sure to check out the reviews of the review service provider you are considering. See what other companies have said about them, and look for any red flags.

3. Analyze their methodology – Different providers use different methods to gather data on customer feedback, so make sure you understand how they collect and analyze information before signing up.

4. Consider pricing options – Review services can vary widely in price depending on what features they offer, so make sure to shop around and compare prices before making a decision.

5. Understand their reporting capabilities – The whole point of using a review service is to improve your business based on customer feedback, so it’s crucial that you understand how the provider reports this information back to you in an easily digestible format.

By following these tips, you’ll be well-equipped to select a high-quality review service provider that will help your business thrive!

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