Close the HCC Coding Gaps That Put Your Revenue at Risk
One closed-loop workflow to capture missed HCCs and validate documentation before submission.
You know the roadblocks: RAF scores below benchmark. Coding gaps flagged in retrospective audits. RADV notices that trigger months of documentation review.
These organizational problems have real revenue consequences:
- Missed HCC codes reduce your RAF scores and suppress risk-adjusted reimbursement across your entire patient panel
- Unsupported diagnoses expose your group to RADV recoupment with clawbacks that can reach into the millions
- Manual chart review costs staff hours and still doesn't catch everything before submission
Most groups address these problems after the fact, with costly retrospective audits or compliance scrambles. Inferscience's RADV Bundle can help.
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Two Costly Gaps You're Missing
The Capture Gap
Legitimate HCC codes are falling through the cracks.
When providers miss HCC codes, your RAF scores take the hit. By the time your reports flag the gap, the encounter is closed and the revenue opportunity requires costly rework to recover.The Validation Gap
The codes you do capture can't always survive a chart review.
The Solution
HCC Assistant: Close Coding Gaps Inside the EHR
HCC Assistant analyzes structured and unstructured clinical data in real time inside the EHR, surfacing legitimate HCC codes that would otherwise be missed. The result is improved RAF score accuracy across your patient population — and fewer retrospective audits and chart-chase costs.
HCC Validator: Eliminate Recoupment Risk Before Submission
HCC Validator automatically checks every HCC code against MEAT criteria before CMS submission, flagging unsupported diagnoses with a Pass/Fail result and a full evidence trail — so your group enters every submission with reduced RADV exposure and documentation your compliance team can defend.
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