HCC Medical Billing and Coding for Higher Reimbursements
RapidClaims provides specialized HCC medical billing and coding services to maximize risk-adjusted reimbursement. Our AI-driven platform ensures precise HCC capture, streamlines RAF optimization, and automates value-based care workflows.
Trusted by the best in the industry
Smart HCC Coding for Higher Reimbursements
Streamline Billing & Denial Management
- Detect high-risk claims and payer-specific edits using AI smart checks.
- Reduce denials and underpayments with automated verification of coding and HCC alignment.
- Maintain audit-ready claim trails with transparent AI rationales and full documentation.
Optimize HCC Capture & Risk-Adjusted Reimbursements
- Accurately capture hierarchical condition categories (HCC) using AI-assisted coding.
- Use longitudinal patient data from multiple encounters to create complete risk snapshots.
- Apply V28-ready mapping to update previous code sets to current HCC categories.
Automated HCC Analytics & Performance Insights
- Track RAF lift, HCC capture, and coding efficiency with actionable dashboards.
- Measure financial impact per accepted physician query using built-in revenue calculators.
- Identify missed HCC opportunities and optimize workflows for value-based care performance.
Advanced HCC Coding & Risk Adjustment Platform
Automated Risk Adjustment & RAF Optimization
Optimizes risk adjustment workflows to enhance financial outcomes and coding efficiency.
- Identifies missing HCC conditions before claim submission to prevent underpayments.
- Tracks RAF lift and financial impact per physician query with real-time dashboards.
- Optimizes coding efficiency for value-based care performance.
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Advanced HCC Coding & Billing
RapidClaims ensures precise coding and claim compliance with AI-driven automation.
- Assigns HCC and ICD-10 codes with 96%+ accuracy for CMS and payer compliance.
- Provides actionable RAF insights and identifies missed HCC opportunities across patient histories.
- Integrates seamlessly with major EHRs while maintaining audit-ready documentation.
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Seamless Integration & Audit-Ready Documentation
Integrates smoothly with existing systems while maintaining transparency and compliance.
- Connects with Athena, Epic, Cerner, and eClinicalWorks via SMART-on-FHIR/HL7.
- Maintains complete, audit-ready trails with explainable AI rationales for every HCC code.
- Reduces administrative burden by automating verification of coding and documentation.
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What Sets Us Apart
Revenue Optimization
- Achieve up to 24% uplift in HCC capture and improved risk-adjusted reimbursements.
- Reduce administrative delays with automated claim edits and coding checks.
- Track revenue impact via real-time analytics dashboards.
AI-Driven Accuracy
- 96%+ coding accuracy through AI that learns from payer responses.
- Identify missing diagnoses and documentation gaps before submission.
- Explainable AI provides audit-ready rationales for every HCC code.
Workflow Integration
- Rapid deployment in under three weeks with minimal disruption.
- Integrates with Athena, Epic, Cerner, and eClinicalWorks via SMART-on-FHIR/HL7.
- Embedded physician query prompts drive high query acceptance and streamline documentation.
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
Maximize HCC Revenue with AI-Powered Coding & Billing
Optimize your risk-adjusted reimbursements with RapidClaims. Use AI-driven HCC coding and billing to improve RAF scoring, prevent missed conditions, and accelerate value-based care.
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Frequently Asked Questions
Transform Your Revenue Cycle in 30 Days or Less
Join leading healthcare organizations already seeing results with RapidClaims.
