Enterprise Risk Adjustment Factor (RAF) calculation engine. Analyze demographic factors, chronic condition hierarchies, disease interactions, and MCE edits via UI, Batch, or API.
Accurate risk adjustment is critical for Medicare Advantage and Value-Based Care. Our engine handles demographic weights, Medicaid status splits, disease interactions, and hierarchical condition truncation automatically.
Auto-calculates factors for Age, Gender, OREC, and Medicaid dual status.
Identifies multi-condition interactions (e.g., Diabetes + Heart Failure) automatically.
Browse all Hierarchical Condition Categories across CMS V28 and V24 models. Review clinical descriptions, institutional vs. community coefficient factors, and every associated ICD-10-CM diagnosis code.
Run risk adjustment for entire patient populations in minutes, not days. Our distributed batch processor handles millions of encounters securely via CSV, Excel (.xlsx), or JSON files.
Integrate RAF scoring directly into your EHR, data warehouse, or analytics platform.
Start forecasting with precision today. Calculate individual RAF scores, browse mapped diagnoses, or audit batch files immediately.