CMS HCC RAF Batch Scoring Tool for Post-Concurrent Review

Drag and Drop your Excel file


*XLSX file only

  • Download “Excel Template” to populate your data.
  • Don’t use any PHI data. Maximum 10000 records allowed.
  • Choose the “Risk Model” and the corresponding “Risk Factor”
  • Drag and drop or Upload your excel file with data and click “Submit” button
  • Your input file will be processed and output file will be created in about 5-mins
  • Click “Download RAF Scores” to download the processed data

Download RAF Score

Sample RAF Scores Output
Download Excel Template

Streamline Concurrent Coding Processes and Boost Revenue with Our RAF Batch Scoring Analysis Tool.

Our RAF Batch Scoring Analysis Tool empowers medical coders to analyze concurrent review data effortlessly and to streamline concurrent coding operations.

Usually, every month based on consolidated concurrent coding review data, the medical coder will share the provider education report with physicians, which will include no change, addition, deletion, and modification of diagnosis codes. Because in majority of the time those ICDs may have same HCC value, physicians will not consider these findings.

While previously, these ICDs may have carried the same HCC value, our tool now differentiates and prioritizes them based on their RAF scores and revenue impact. When the medical coder shares the provider education report with RAF score and revenue impact with high and low priority ICDs, provider will certainly consider the provider education report and act on it.

Medical coding companies leveraging our RAF Batch Score Analysis Tool can significantly enhance physician satisfaction during concurrent coding processes. By incorporating this advanced analysis into the coding operations, they ensure that providers receive a clear and actionable Provider Education Report, facilitating informed decisions and concurrent coding improvements. This report contains vital insights into high and low-priority diagnosis codes, prompting providers to take swift and informed actions after concurrent coding.

In addition to it, this tool also unlocks a new stream of revenue for medical coding companies by incorporating concurrent coding analysis. By adding a Revenue Impact Analysis Report, coding companies can demonstrate the financial implications of high and low-priority diagnosis codes, emphasizing the potential revenue boost.

Our RAF Batch Scoring tool takes and reports the data with the following tags for better analysis of revenue opportunities and RAF Score for medical coders:

No Changes (NC):

ICDs that remain unchanged during the chart review.

Deletion (DL):

ICDs that are deleted due to lack of documentation.

Modification (MD):

ICDs that are modified from one code to another during the chart review due to specificity & cause and effect relationship.

Addition (AD):

ICDs that are added during the chart review.

Our RAF Batch Scoring Analysis Tool empowers providers with data-driven insights, enabling them to make confident decisions during concurrent coding. With this concurrent coding information at their disposal, physicians can ensure that every diagnosis code is thoughtfully considered, leading to improved patient care and better financial outcomes.