Is Your HCC Coding Accurately Reflecting the True Complexity of Your Patient Population?
A structured HCC risk adjustment coding analysis that benchmarks your chronic condition capture performance, surfaces documentation and coding gaps, and delivers a prioritized action plan to improve RAF accuracy and strengthen audit readiness across Medicare Advantage and value-based programs.
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Missed Chronic Condition Capture
Without a structured analysis, chronic conditions are frequently missed or not recaptured annually, leaving HCC coding incomplete and RAF scores inaccurate relative to the true disease burden of your population.
Documentation & Coding Disconnect
Clinical documentation often lacks the specificity required for compliant HCC coding, creating persistent gaps between provider intent, coding accuracy, and risk adjustment outcomes that only a structured analysis can surface and quantify.
Growing Audit & RADV Exposure
Without benchmarking current HCC coding practices against CMS standards, organizations cannot determine whether their documentation and coding workflows would withstand RADV scrutiny or evolving Medicare Advantage compliance requirements.
22%
RAF Scope Increase Across Reviewed Populations
+1 HCC
Net New HCC Reported Per Reviewed Member
34%
Annual Wellness Visit Capture Rate Increase
69%
Transitional Care Management Reporting Increase
What Happens During the HCC Coding analysis?
A structured, clinically validated evaluation of your HCC risk adjustment coding performance that benchmarks chronic condition capture, surfaces documentation gaps, and delivers a clear RAF improvement and compliance roadmap.
Submit Your Encounter & Claims Data
Share encounter records and claims data across your patient population, no PHI required, to establish a baseline view of your current HCC coding accuracy, chronic condition capture rates, and RAF performance.
Benchmark, Analyze & Quantify HCC Gaps
Our CMS-aligned coding specialists conduct a detailed review of your HCC medical coding performance, comparing chronic condition capture rates and RAF scores against national benchmarks to identify gaps and quantify recoverable RAF opportunity across your population.
Receive Your analysis Findings & Action Plan
Get a structured HCC coding analysis report covering RAF accuracy, missed condition categories, and documentation gaps, paired with prioritized recommendations and a guided expert walkthrough to help your team strengthen HCC capture and audit readiness immediately.
Know Your HCC Gaps. Strengthen Your RAF. Protect Your Compliance.
A Clear Picture of Where Chronic Conditions Are Being Missed
Your analysis maps HCC capture gaps across your patient population using clinically validated reviews, giving leadership a precise, evidence-based view of where chronic conditions are underdocumented, not recaptured, or missing entirely from risk adjustment coding.
Benchmarked Against CMS and National HCC Standards
Every finding is measured against CMS risk adjustment model specifications and national HCC coding benchmarks so your team understands the true RAF and financial impact of each documentation and coding gap relative to peer organizations.
A Prioritized Plan to Improve RAF Accuracy and Audit Readiness
Your HCC coding analysis delivers ranked recommendations by RAF impact and compliance risk, so leadership knows exactly which documentation improvements, recapture workflows, and coding practices to prioritize first for the most measurable gains.
7–22%
Organizations that complete a structured HCC coding analysis consistently identify between 7 and 22 percent improvement opportunity in chronic condition capture and RAF score accuracy within their existing coding and documentation workflows.
Most organizations have a clear HCC improvement roadmap and measurable RAF targets within one structured analysis cycle.