CMS HCC RAF Score Calculator Click to edit
CMS HCC RAF Score Calculator
Use for DOS from Jan 1, 2024, to Dec 31, 2024
Sample Data: C9200,D66,G8250,G7001,E1152,E849,E1122,N185,E7402,I5023 Use this!
S.No ICD 10 CM Code HCC Value Diagnosis Description Delete Record
1
S.No ICD 10 CM Code CMS-HCC-V24 CMS-HCC-V28 Diagnosis Description Delete Record
1
Category
RAF Score MA Payment
Category CMS-HCC-V24 CMS-HCC-V28
ICD10
HCC RAF Score MA Payment HCC RAF Score MA Payment RAF Score MA Payment

Maximize Revenue Potential and Enhance Clinical Documentation with our cutting-edge Analysis Tool with Revenue and RAF Score for Medical Coder!

This tool is designed specifically for medical coders and physicians in the USA and it simplifies the way you approach post-prospective chart reviews and clinical document improvement (CDI) recommendations. It helps with RAF scores for medical coders with revenue impact and makes the analysis easy.

Following are some benefits of using this tool which provides accurate RAF Score for medical coders:

Efficient Post-Prospective Chart Review:

Our tool is specially designed with revenue opportunities and RAF Score for medical coders and it streamlines the process of determining which patient charts should be sent to physicians for clinical document improvement. It helps to prioritize high-value charts and patients for physicians’ review.

Revenue Potential with Data-Driven Insights:

Leveraging the diagnosis codes from current financial year claims and demographic data, our tool accurately reports revenue opportunities and RAF scores for medical coders, and it empowers them to identify high-value missed opportunities for CDI.

Avoid Wasted Efforts:

We understand that not all new or missed diagnosis codes will lead to high revenue, and some may share the same HCC code as existing ICDs. Without the right insights, physicians may spend precious time on CDI efforts that yield no additional revenue, leading to a loss of interest and ignored recommendations.

RAF Score Precision and Prioritization:

Our tool designed with revenue opportunities and RAF Score for medical coders meticulously analyzes each ICD, determining the revenue impact of CDI gaps.

Our RAF Score analysis tool takes, processes, and reports the data with the following flags for better analysis of revenue opportunities and calculation of RAF Score for medical coders:
  • Diagnosis codes from the current financial year are flagged as “Billed”.

  • Diagnosis codes from the past financial years are flagged as “Missed”.

  • Diagnosis codes with MEAT but missed earlier and identified during the HCC coding are also flagged as Missed.

  • Diagnosis codes recommended by a medical coder with potential revenue opportunities are flagged as “New”.

Don't miss out on revenue opportunities and explore our tool for RAF Score for medical coders today!

Demographic Inputs
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