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