RAF Score Optimization – CorroCare
Data processing engines and validation from HCC experts
CorroHealth provides a holistic risk adjustment solution that combines NLP technology, built-in workflow, and skilled professionals to manage the risk adjustment process.
Our CorroCare solution streamlines the processing and delivery of administrative and clinical data to CDI experts for pre and post-visit review. These teams then engage providers to close documentation gaps and reconcile said gaps against billing data to deliver RAF score integrity.
Automation for Critical Issues
Autonomous coding is designed to address:
Reconfirmation of previously claimed chronic conditions
Known conditions from problem lists
Suspect from labs and meds
Diagnosis previously documented but not billed
Inferred suspects delivered from clinical notes
Additional clinical evidence to help identify suspect conditions
The Validation Process
With key data compiled, CorroHealth experts work within the CorroCare platform for optimized HCC coding. The work performed includes:
Pre-visit review of identified gaps
Review and validate NLP identified conditions and suspects
Update problem list in the EMR
Alert provider within EMR workflow to documentation gap opportunities
Post-visit review and reconciliation
Review to ensure completeness of documentation post-visit
Reporting on gap closure and provider performance
Create RAF Score Improvement
The unique combination of a risk-based clinical data processing engine with the most trusted name in HCC coding has created significant results for our health system and health plan clients.
15%
20%