Manage Your Source Data

Risk Adjustment is far more than a data collection project… it drives your bottom line. A single missed diagnosis can cost thousands of dollars. HCC Analytics examines all source data to identify suspect, missing or incorrectly coded diagnosis codes — the foundation of your risk adjustment factors.

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Features

      • Identify suspect missing ICD codes from historical encounter data
      • Store and report on member HCC history
      • Calculate expected RAF score
      • Import and analysis based on clues from unqualified sources – authorizations, laboratory, and DME
      • Provide member level suspect list of missing ICD codes and coding errors
      • Run provider profiles which indicate how a provider’s submissions compare to the population and benchmarks
      • Calculate RAF scores based on varied dates of collection and cut off dates