CMS HCC RAF Batch Scoring Analysis Tool for Post-Retrospective Coding

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

With our RAF Batch Scoring Tool, confidently determine which charts need to be sent for re-submission after HCC coding review!

Our RAF Score Batch Score Analysis Tool is perfect to use after charts have gone through a retrospective HCC coding review. The HCC coding reviewed charts come with a list of diagnosis codes (ICD10) with no changes, additions, deletions, or modifications.

Not every new or modified ICD code will have a revenue impact. Some new diagnoses may interact with existing or modified ones, and determining the exact revenue impact can be a daunting task. Because of the additional disease interaction due to cause-and-effect relationship between two diagnosis codes, it will increase the revenue/RAF. For example, diabetes is e11.9 with $983 & CKD unspecified is n18.9 with $0, but after combining diabetes with CKD, it is e11.22 with $2828 revenue. That's where our RAF Score Batch Scoring Tool comes in to analyze each diagnosis code, validation flags, demographic data, and their interactions, after retrospective HCC coding review and it provides a comprehensive revenue impact analysis report to decide confidently about re-submission.

Key Features:

Following are some of the key features of the RAF Batch Scoring Analysis Tool primarily used after retrospective review:

Accurate Revenue Impact Assessment:

Our RAF Batch Scoring Tool precisely calculates the revenue impact of new or modified ICD codes after a retrospective review, providing you with valuable insights to make informed decisions about re-submission.

Confident Decision-Making:

With our RAF Batch Scoring Tool at your disposal, you can confidently decide whether a retrospective HCC coding reviewed chart needs re-submission or can be safely ignored, saving you time and effort.

Seamless RAF Batch Scoring:

Our RAF Batch Scoring Tool allows for efficient batch scoring, making the process faster and more streamlined, ensuring all retrospective HCC coding reviewed charts are analyzed promptly.

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.

Maximize your revenue potential and reduce the risk of billing oversights with our RAF Batch Scoring Analysis Tool. Simplify the retrospective coding process, and gain confidence in your decisions on re-submission.