How Rafodex AI Connects Diagnosis, Documentation, MEAT, and HCC Assignment
How Rafodex AI Connects Diagnosis, Documentation, MEAT, and HCC Assignment AI connects diagnosis, clinical documentation, MEAT evidence, ICD-10-to-HCC mapping, and final HCC assignment by turning unstructured medical records into a traceable coding workflow. It identifies documented conditions, checks whether the record supports MEAT criteria, maps supported ICD-10-CM diagnoses to the applicable CMS-HCC risk adjustment model, […]
How to Improve HCC Capture without Increasing Audit Risk
How to Improve HCC Capture without Increasing Audit Risk Introduction Risk adjustment coding is essential in today’s value-based healthcare setting to guarantee that medical professionals are fairly compensated according to patient complexity. Hierarchical Condition Category coding (HCC coding), which directly affects patient care planning and reimbursement models, is at the heart of this system. Improving […]
