"In a single week we saw an additional $62.5K+ in otherwise missing RAF value by using the RCxRules HCC Coding Software. With RCxRules, we were easily able to scale up with value-based contracts. The value of RCxRules software is unprecedented—in fact, it’s a necessity for any organization with risk-based contracts."
Kelly Macken-Marble
CEO, The South Bend Clinic
"The automation RCxRules brought to our HCC coding process led to a dramatic productivity hike in our organization and is a key factor in our success with MSSP. The technology is extremely user friendly and the RCxRules team is flexible and responsive."
Kimberly Clifton
Director of ACO Operations, Arizona Community Physicians
Trusted By
Reduce Burden on Providers
Providers went to medical school to become doctors, not coders. They excel at providing patient care, but often struggle to translate the care provided into HCC codes. Provider education is a good place to start—but providers need support to truly improve RAF score accuracy. That’s why our technology works with your coders, so there’s no additional work required from already overburdened providers.
Schedule 1:1 Meeting
Improve Coder Productivity
Coders have a wealth of specialized knowledge—knowledge that shouldn’t be wasted on reviewing routine encounters. Our pioneering HCC Coding Engine identifies critical, high-value HCC encounters that warrant full coder review, so coders can make the most of their time and skills. The result? A single coder working with our HCC Coding Engine finds at least $250,000 in RAF value every month.
Close the Gap
Physicians are much better at clinical documentation than HCC coding. In fact, 1/3 of encounters flagged by the HCC Coding Engine are underreporting HCC codes when compared to the physician documentation. This means your physicians aren’t getting credit for the documentation they entered and the care they provided. Our HCC Coding Engine automatically identifies these potential gaps and directs them to a coder for review.
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Reduce Burden on Providers
Providers went to medical school to become doctors, not coders. They excel at providing patient care, but often struggle to translate the care provided into HCC codes. Provider education is a good place to start—but providers need support to truly improve RAF score accuracy. That’s why our technology works with your coders, so there’s no additional work required from already overburdened providers.
Schedule 1:1 Meeting
-
Improve Coder Productivity
Coders have a wealth of specialized knowledge—knowledge that shouldn’t be wasted on reviewing routine encounters. Our pioneering HCC Coding Engine identifies critical, high-value HCC encounters that warrant full coder review, so coders can make the most of their time and skills. The result? A single coder working with our HCC Coding Engine finds at least $250,000 in RAF value every month.
-
Close the Gap
Physicians are much better at clinical documentation than HCC coding. In fact, 1/3 of encounters flagged by the HCC Coding Engine are underreporting HCC codes when compared to the physician documentation. This means your physicians aren’t getting credit for the documentation they entered and the care they provided. Our HCC Coding Engine automatically identifies these potential gaps and directs them to a coder for review.
Need Coders? Combine Technology and Talent for the Most Accurate Coding
The AAPC + RCxRules Advanced Coding managed service acts as an HCC coding safety net. This unique approach means you only incur a cost when AAPC-Certified Risk Adjustment Coders deliver results—you only pay when an HCC code is added, deleted, or adjusted. There are no implementation fees or hidden costs.
