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Need Risk Adjustment Coders?

Learn more about the AAPC + RCxRules Advanced HCC Coding Managed Service

Combine Technology and Talent to Improve Your Risk Adjustment Coding Accuracy

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.

  • Reduce burden on providers
  • Overcome staffing challenges
  • Expected results of up to $250K+ in RAF value per month
“RCxRules has changed the way we work for the better, allowing us to expand our business without increasing the size of our team. We can take on more with less. Our dedicated RCxRules implementation and support team have been outstanding, working with us every step of the way—responsive, competent, and flexible.”
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Chris Hughes
CEO, Director, Central Billing Operations
"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."
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Kimberly Clifton
Director of ACO Operations, Arizona Community Physicians

Schedule a 15-Minute Discovery Meeting to Learn More
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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 solution works without burdening already overworked providers.

Overcome Staffing Challenges

With this new managed service, AAPC risk adjustment coders leverage the RCxRules HCC Coding Engine to ensure the HCC coding matches the clinical documentation—so you can dramatically improve your RAF score accuracy without using any internal coding resources. 

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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 solution automatically identifies these potential gaps and directs them to an AAPC coder for review.

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More Complete and Accurate Medicare RAF Scores

Our technology reviews every encounter that leaves your EMR in real time. If an encounter does not need coder review, it automatically passes through to your revenue cycle system in milliseconds. If the technology detects an HCC coding gap, it directs the encounter to a coder for review. These changes are integrated back into your revenue cycle system, so accurate claims are sent every time.

20% 20% of Medicare Advantage claims are miscoded
$250,000 A single coder working with the HCC Coding Engine can find at least $250,000 in RAF value every month
Day 1 Results starting day 1: coders can positively impact accurate RAF scores immediately after implementing the HCC Coding Engine
"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."
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Kimberly Clifton
Director of ACO Operations, Arizona Community Physicians