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RAF SCORE Suite

Production-Ready RAF Score Tools for Every Workflow

Empower your organization with production-ready CMS-HCC risk adjustment tools. From instant API-driven risk calculations to high-volume batch processing and user-friendly interactive calculators—seamlessly integrate accurate RAF scores into clinical workflows, revenue cycle operations, and population health management systems.

The Precise Health Risk Compass™ SCORE suite delivers comprehensive RAF scoring capabilities that enable data-driven decisions with confidence. Whether you need real-time patient-level risk calculations, enterprise-scale batch processing for population analysis, or an intuitive free calculator for immediate insights—our solutions adapt to your workflow.

Complete CMS-HCC Model Coverage: V24, V28, ESRD, and RxHCC models across CY2023 and CY2024 payment years. Purpose-built for Medicare Advantage risk adjustment, care gap analysis, and RADV audit preparation.

RAF Score dashboard showing real-time risk calculations, care gap analysis, and CMS-HCC model support for Medicare Advantage
RAF Score dashboard providing comprehensive risk adjustment insights

Real-Time Risk Calculation

Instant RAF scores at the point of care with 99.9% API uptime for mission-critical workflows

Enterprise Batch Processing

Process 100K+ member records per batch with secure AWS S3 delivery for population analysis

Free Interactive Calculator

No-registration-required tool supporting up to 50 ICD-10 codes with downloadable PDF reports

Our RAF Score Solutions

Choose the Right Tool for Your Workflow

From real-time API integration to batch processing and interactive calculators, we provide flexible RAF scoring solutions tailored to your organization's needs.

RAF Score REST API

Real-time RAF score calculations at the patient level with care gap analysis and seamless integration into clinical and billing workflows.

  • Instant RAF score calculation
  • Care gap analysis (historical vs current)
  • Blended CY2023 & CY2024 scores
  • V24, V28, ESRD, RxHCC support
  • 99.9% API uptime & reliability
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RAF Batch Processing API

High-volume RAF score processing for population-level analysis with pre-audit and post-audit scoring capabilities.

  • Process 100K+ records per batch
  • Pre-audit & post-audit RAF analysis
  • Secure AWS S3 file delivery
  • Population-level trend tracking
  • Historical data analysis
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RAF Score Calculator

Free online CMS-HCC risk adjustment tool with instant RAF scores, revenue impact analysis, and downloadable PDF reports.

  • Free—no registration required
  • Process up to 50 ICD-10 codes
  • CMS-HCC V24, V28, ESRD, RxHCC
  • Revenue impact projection
  • Downloadable PDF reports
Try Now (Free) →
Key Capabilities

Comprehensive RAF Score Intelligence

Powerful features designed to streamline risk adjustment workflows and maximize documentation accuracy.

Real-Time Risk Calculation

Generate instant RAF scores at the point of care or during revenue cycle processing for immediate clinical decision support.

Care Gap Analysis

Compare historical and current year conditions to identify documentation opportunities and close care gaps effectively.

Multi-Model Support

Comprehensive coverage of all CMS-HCC models including V24, V28, ESRD, and RxHCC across multiple payment years.

Batch Processing at Scale

Process thousands of member records simultaneously with asynchronous processing and secure AWS S3 delivery.

Audit Preparation & Analysis

Calculate pre-audit and post-audit RAF scores, identify overpayments and underpayments, and quantify RADV audit impact.

Seamless Integration

RESTful API architecture enables easy integration into EHRs, billing systems, and custom analytics applications.

Use Cases

Who Benefits from RAF Score Solutions

Our comprehensive RAF Score tools serve diverse stakeholders across the healthcare ecosystem.

Clinical Documentation Teams

  • Streamline chart prioritization with accurate risk profiling
  • Identify high-impact documentation opportunities
  • Prevent wasted effort on low-impact diagnosis codes
  • Generate comprehensive revenue impact reports

Medicare Advantage Plans

  • Pre-audit and post-audit RAF score analysis
  • Track risk trends at patient, provider, and population levels
  • Identify missed RAF opportunities using historical data
  • Optimize resource allocation through precise risk profiling

Healthcare Providers

  • Real-time risk calculations during clinical encounters
  • Individualized patient risk assessment based on complexity
  • Documentation guidance and HCC suggestions at point of care
  • Revenue cycle integration for coding opportunity identification
Proven Results

Impact by the Numbers

Our RAF Score solutions deliver measurable improvements in efficiency, accuracy, and revenue optimization.

90%
Reduction in Calculation Time

Instant RAF scores eliminate manual calculation delays

100K+
Records Per Batch

Enterprise-scale processing for population-level analysis

99.9%
API Uptime & Reliability

Mission-critical availability for production workflows

100%
CMS-HCC Model Coverage

Supports V24, V28, ESRD, RxHCC across all payment years

Ready to Transform Your Risk Adjustment Workflows?

Schedule a personalized demo to see how our RAF Score solutions can integrate seamlessly into your organization's clinical and revenue cycle operations.