RISK ADJUSTMENT CODING
Accurate and compliant HCC coding that helps organizations get reimbursed fairly for the care they deliver.
300+ Industry Leaders
Why It 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.
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.
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.
Related Services
Health IT & Interoperability Solutions →
Our Health IT & Interoperability Solutions enable secure, seamless data exchange across healthcare systems, improving connectivity, reducing admin burdens, and enhancing patient outcomes.
Compliance & Audit Readiness →
Ensure your organization stays fully compliant with industry regulations through accurate documentation and transparent reporting. Our system simplifies audit preparation by maintaining complete, verifiable records—helping you stay confident, compliant, and always audit-ready.
Data Analytics & Process Automation →
Unlock the power of data with intelligent automation. Our solutions help you collect, analyze, and visualize key insights to drive smarter decisions. By automating routine processes, we enhance efficiency, accuracy, and scalability — empowering your team to focus on growth and innovation.
