Diagnosis Coding Technologies & Services for Healthcare Providers
Improve clinical documentation accuracy and healthcare decision-making
Accurate Prospective HCC Risk Adjustment for Healthcare Providers
Healthcare providers today face numerous challenges when it comes to International Classification of Diseases (ICD) codes, Hierarchical Condition Categories (HCCs) and Risk Adjustment Factor (RAF) score analysis. These challenges include keeping up with regular updates, conforming to complex regulations, and dealing with data inconsistencies and discrepancies, among others.
To address these challenges effectively, healthcare providers need reliable diagnosis code analysis technology solutions & services that can simplify the entire process. With such solutions in place, physicians can focus more on delivering quality care while leaving the tedious task of coding to specialized professionals who have a deep understanding of the constantly changing regulatory environment.
In summary, professional diagnosis code analysis technology help reduce errors in coding which ultimately results in better patient outcomes and value-based care.
We Support Healthcare Providers Including
At Risk Entities (Upstream Risk Bearing Entities)
Accountable Care Organization (ACOs & ACO Reach)
Medicare Shared Savings Program (MSSP)
Bundled Payment Plans, PCPs, Physician Groups & IPAs
Solutions for Value-Based Care
Unified platform for your end-to-end value-based care journey.
Each stands alone—and gets better together.
Prospective Risk Adjustment
Comprehensive care continuum optimization from pre-visit planning through post-visit HCC coding validation.
✓ Prioritize high-risk patients
✓ Proactive HCC gap closure
✓ Reduce provider abrasion
✓ EHR integrated solution
Retrospective Risk Adjustment
Autonomous platform to stratify high-risk patients, chart review, HCC identification, and MEAT validation workflow.
✓ Reducing project timeline from months to days
✓ Evidence-based audit trail with justification
✓ Reducing program cost by over 40%
RADV Audit Solution
Run MEAT evidence-first checks, generate export files, and manage responses with clear audit trails for extrapolation protection.
✓ RADV-compliant workflow
✓ Expert auditor oversight
✓ Future-proof audit defense
AI as a Service (AIaaS)
Neuro-Symbolic AI that integrates with existing systems and workflows.
✓ API integration
✓ Custom workflows
✓ Scalable deployment
Results That Transform Your Performance
Financial Impact
Revenue & RAF uplift
$2500+Per member Appropriate Revenue Gain
10:1Guaranteed ROI
Delivered
Clinical Outcome
Proactive care reduces
hospitalization/ER visits
Weekly hours saved by clinicians
in documentation
Reduction in chart review time
Compliance
Accuracy with audit-ready documentation support
100%Evidence-backed code
justification
Why RAAPID’s Risk Adjustment Technology Solutions and Services for Healthcare Providers
Clinical AI
Our NLP technology will help you automate the process of identifying relevant ICD codes for medical diagnoses and procedures.
Knowledge Graph
Accurately extract key information from patient records such as symptoms or diagnoses and automatically assign the appropriate ICD codes.
DocumentAI
Accurately convert handwritten or printed text into digital format, making it easier for healthcare professionals to access and analyze patient data.
ML/DL AI
Recognize patterns in diagnosis descriptions, medical histories, lab results, radiology reports, and other relevant information.
API
Using our clinical APIs you can improve communication between various healthcare systems and providers, ultimately leading to improved patient care outcomes.
How Do We Support You
What Our Customers Say
Talk to Our Customers
Have a candid conversation with a risk adjustment leaders who broke free from the vicious cycle of time consuming reviews, missed revenue, and vendor chaos.
Help us to know you better!