HCC Analytics

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.


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