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Run the most Accurate, Profitable & Compliant Risk Adjustment Program

Leverage the power of clinically trained NLP & large knowledge models to execute end-to-end accurate, profitable, and compliant retrospective risk adjustment program

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Client Testimonials

Key Benefits

RAAPID’s retrospective risk adjustment solutions process structured and unstructured clinical data to suggest accurate HCC codes to increase the RAF score

Handle Large Volumes of Charts

Increase Coder's Accuracy & Productivity

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

Accurately Capture HCC Codes

Accurately Capture HCC Codes

Enhance your accuracy with a complete audit trail and MEAT evidences (or gaps) for all identified HCCs

Streamline Project Operations

Streamline Project Operations

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

Increase Coders Accuracy Productivity

Handle Large Volumes of Charts

RAAPID’s AI-powered Coding & QA platform helps risk adjustment teams to scale their chart review & audit process

Eliminate OIG RADV Penalties

Eliminate OIG/RADV Penalties

Submit the accurate HCC codes & ICD-10-CM to CMS and eliminate the OIG & RADV audit risk. Saving you from penalties and losing your brand reputation.

Delivering Compliant ROI

Delivering Compliant ROI

We help you achieve complaint ROI from your risk adjustment program by keeping you away from audits and penalties.

Why RAAPID’s Retrospective Solution is Perfect for Payers Like You

Fostering Risk Adjustment

Fostering Risk Adjustment

As we transition to value-based care (VBC) and risk-based contracting, health plans and providers’ financial performance is linked with risk adjustment. Our retrospective risk adjustment solutions utilize natural language processing (NLP) to accurately read unstructured & structured medical records to better identify risk, and improve the Efficiency & ROI of Risk adjustment programs

Fostering Risk Adjustment

Clinically Trained Large Knowledge Models

Trained on 30M+ of real and diverse clinical data, our solutions are 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

Clinically Trained Large Knowledge Models
Explainable AI

Explainable AI

We believe in explainable AI, meaning all the output the system suggests is backed by reasoning, context, and MEAT evidence presented to the end users. It is a “Human-in-the-loop” solution that frees reviewers & QA from manual processes and helps them focus on things that really matter – Data Interpretation & Decision making.

Explainable AI

Highly Configurable & Cloud Agnostic

One-size-fits-all, out-of-the-box AI solutions never work 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 solutions on any cloud platform. (Google, Azure, AWS or Government cloud)

Highly Configurable Cloud Agnostic

We Can Also Help You For

Chase List Preparation
Chase List Preparation

Using 360% longitudinal data like clinical charts, claim data, lab reports, membership, encounter data, and more, we help you create the list of members to prioritize in your risk adjustment review and audit.

medicare advantage health plan
Chart Retrieval

Maximize your ability to identify, obtain, and analyze medical data quickly, easily, and securely. With RAAPID as your partner for chart retrieval via our preferred and reliable vendors.

radv audits
Coding Services

We have a team of expert HCC coders (Onshore + Offshore) for prospective and retrospective coding to handle any large volume of clinical charts.

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