CMS HCC RAF Batch Score Analysis Tool for Pre-Retrospective Coding

Drag and Drop your Excel file


*XLSX or CSV file only

  • Download “Excel Template” to populate your data.
  • Don’t use any PHI data. The maximum file size allowed is 500KB for XLSX files and 6MB for CSV files.
  • 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

Enhance Revenue Decision-Making and Get In-Depth Insights from this RAF Batch Scoring Analysis Tool for Retrospective Coding!

Not all patients’ charts are released for retrospective review, and it is typically about 10% of the entire population of charts released for retrospective review. Usually, Charts for retrospective review are selected randomly, or by comparing current vs past FY claims by total revenue, and both these two approaches could lead to high revenue charts being missed out causing major revenue loss.

When the current and past FY claims data are compared with traditional methods, we may feel most of the patients’ data may have the same or less revenue impact. If data from both years are combined, the revenue gain might be more. This can be confirmed only when each ICD is analyzed for revenue impact. With our RAF Batch Scoring Analysis Tool for Retrospective Coding, you gain unparalleled insights into the revenue impact of each diagnosis (ICD10) code.

Key Features:

Comprehensive Analysis:

The RAF Batch Scoring Analysis Tool for Retrospective review meticulously evaluates each ICD code from both current and past FY claims and then performs the sampling of charts based your threshold.

Revenue Optimization:

Our tool helps to perform revenue impact analysis with RAF score and provides data on revenue opportunity and RAF score to decide if the patient charts should be sent retrospective coding review.

Strategic Decision-Making:

By utilizing our RAF Score Analysis Tool for Retrospective Coding, you can confidently determine the exact revenue impact of each ICD10, chart and make an informed decision if the chart should be sent for retrospective coding review or not.

Efficient Auditing:

This tool for Retrospective Coding highlights high-value charts that require auditing for retrospective review, optimizing the allocation of resources and minimizing revenue loss.

The tool processes each diagnosis code (ICD10) along with corresponding flags, Last_Year or Current_Year, to indicate the respective year to which the ICD10 belongs.

Don't rely on traditional methods that may miss out on critical revenue opportunities. Start using our RAF Batch Scoring Analysis Tool for Retrospective Coding.