RISK ADJUSTMENT CODING
- 99%+ Accuracy in HCC & Risk Adjustment Coding
- Improved RAF Scores with Complete Documentation Capture
- Compliance with CMS Guidelines & Industry Standards
- Reduced Audit Risk with Error-Free Coding Practices
- End-to-End Support for Risk Adjustment Programs
Trusted by 500+ Physicians
Catering to 40+ Specialties
1100+ Certified Medical Billers & Coders
End-to-End RPA Billing Solutions
Up to 98% First Pass Clean Claim Rate
Why Risk Adjustment Coding Management Matters
Risk Adjustment Coding ensures healthcare organizations and health plans are reimbursed correctly for managing complex patients.
By reviewing medical charts and coding all relevant conditions, we help organizations capture every risk factor accurately — improving revenue integrity and compliance.
If certain diagnoses are missed, your reported patient risk scores drop, leading to lower reimbursements and potential audit exposure.
Acuity Health’s coding team prevents that with consistent reviews, audits, and reporting that bring accuracy and peace of mind.
Our Success in Numbers
$ 300 M+
Value of claims processed
24
Accounts Receivable Days
36 Hours
Turn Around Time (TAT)
99 %
Customer Retention
2.5 M
Number of Claims Processed
98 %
First Pass Clean Claims Rate
10% - 15%
Revenue Improvement
30 %
Reduction in A/R
Who We Support
Health Plans / Payers
Capture accurate risk scores and ensure fully compliant data submissions.
Accountable Care Organizations (ACOs)
Improve risk capture and reflect real patient complexity in savings programs.
Managed Service Organizations (MSOs)
Healthcare Providers
Enhance documentation accuracy, optimize coding efficiency, and improve overall care outcomes.
Core Services
HCC / Risk Adjustment Coding
Identify and code all Hierarchical Condition Categories accurately.
Retrospective Chart Review
Review past charts to find missed conditions or documentation gaps.
Prospective Review
Ensure future encounters capture complete patient complexity.
Coding Audits & QA
Multi-level quality checks to maintain accuracy and compliance.
Data & Analytics Reporting
Insights into RAF scores, coding trends, and audit readiness.
Provider & Team Training
Continuous education to improve documentation practices.
Compliance & Certifications
HIPAA-Compliant : Strict data security protocols and confidentiality standards to safeguard protected health information (PHI) at every stage.
ISO-Certified : Structured quality management processes ensuring consistent performance, operational excellence, and continuous improvement in every billing cycle.
Get in touch
Specialties We Support
Medical Billing Expertise Across Key Specialties
Benefits of Partnering with Acuity Health
Metrics
Acuity’s team improved our RAF scores and eliminated missed conditions within the first quarter. – VP, Health Plan Operations
Ready to Improve Your Risk Coding Accuracy?
Talk to our experts today and see how Acuity Health can help you capture accurate risk data and ensure compliant reimbursement.
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