AI-Powered Risk Adjustment Built for Accurate RAF Scoring and Reimbursement
Improve HCC capture, reduce documentation gaps, and increase RAF accuracy with a risk adjustment solution that’s designed for Medicare, Medicaid, and ACA programs.
Trusted by the best in the industry
Maximize Risk-Based Revenue
- Improve HCC capture by 24% using AI-powered suspecting and code suggestions
- Organizations using RapidClaims have reported RAF score improvements of up to 15%, driven by better risk condition identification.
- Surface missed or undocumented diagnoses that impact plan reimbursements
Cut Administrative Burden
- Automate manual chart reviews and eliminate spreadsheet-based workflows
- Detect risk-impacting conditions with real-time clinical documentation analysis
- Help coding teams prioritize charts with the greatest RAF and revenue potential
Ensure Risk Adjustment Compliance
- Stay aligned with the latest CMS-HCC and ACA risk models
- Validate every HCC with MEAT criteria checks and audit-ready documentation
- Maintain 96% coding accuracy across all supported plans and models
Smart Risk Adjustment and HCC Coding Suite
AI That Closes Risk Gaps Before Submission
RapidClaims continuously syncs with CMS risk models to identify incomplete risk profiles and optimize revenue potential across value-based care contracts.
- Auto-identifies suspect conditions and validates against past encounters
- Supports Medicare Advantage, ACA Exchange, and Medicaid risk programs
- Identifies documentation gaps that may impact reimbursement eligibility.
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What Sets Us Apart
Proven Results
- 24% increase in HCC capture
- $2.2 million in additional annual revenue generated through accurate risk adjustment
- 22% reduction in documentation gaps for risk-bearing organizations
Security That Matters
- HIPAA-ready and SOC 2 certified infrastructure
- Role-based access control and full audit trails for every coding action
- Designed for CMS, ACA, and Medicaid risk adjustment compliance
Built for Risk Adjustment Teams
- Works with Epic, Cerner, Athenahealth, and all major EHR systems
- Rapid deployment with pre-configured CMS model logic
- 24/7 expert support for documentation guidance and coding validation
Results You Can Trust
RapidClaims delivered what other vendors only promised. We've seen a 30% reduction in AR days within one quarter, unlocking $2.5M in accelerated cash flow. Their platform adapts to our specific workflows instead of forcing us to change our processes.
CFO, Major Health System
$2.5M
Accelerated cash flow
30%
Reduction in AR days
"With RapidClaims, we're maximizing our limited resources while improving revenue capture by 5%. Our team now spends more time on patient care and less on administrative tasks."
Director HIM, Federally Qualified Health Center
5%
↑ increased revenue
40%
Reduction in coding and billing costs
RapidRisk transformed our value-based care documentation, improving RAF by 15% and reducing documentation gaps by 22%. This directly impacts our shared savings and quality metrics.
Medical Director, Leading Accountable Care Organization
15%
↑ RAF
45%
New conditions identified
Our clean claim rate jumped from 92% to 99% with a 96% first pass yield rate. With RapidClaims, we improved the productivity of our coding staff by 100%. Our team only focuses on complex cases that require human expertise.
VP Revenue Cycle, Multi-Specialty Physician Group
27%
Reduction in claim denials
70%
Reduction in cost to collect
Capture the Full Risk Picture. Reimburse What You Deserve.
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Transform Your Revenue Cycle in 30 Days or Less
Join leading healthcare organizations already seeing results with RapidClaims.
