Medicare Advantage | CMS-HCC | Risk Adjustment

Expert HCC Coding Services That Maximize Your RAF ScoreHCC Coding Services

Alpine Pro Health delivers certified, AI-assisted Hierarchical Condition Category (HCC) coding that captures every chronic condition, improves reimbursement accuracy, and keeps your Medicare Advantage plans fully CMS-compliant.

98%

Accuracy

1M

Accuracy

40%

Accuracy

HCC Coding Services

Alpine Pro Health is a trusted partner in delivering accurate, compliant, and denial-free risk Adjustment solutions for healthcare organizations, including services such as:

● Ensures accurate and complete documentation of patient conditions
● Utilizes expert coding to reduce errors and minimize claim denials
● Maintains full compliance with CMS and payer-specific guidelines
● Captures all risk-relevant conditions to optimize revenue
● Provides end-to-end support for RADV audits

How HCC Risk Adjustment Works?

Patient Encounter

Physician documents chronic conditions during face-to-face visit

ICD-10 Code Assignment

Certified coders assign precise ICD-10 codes to documented diagnoses

HCC Category Mapping

ICD-10 codes map to CMS-HCC categories and relative risk factors

RAF Score Calculation

Sum of all HCC risk weights + demographic factors = RAF score

CMS Payment Adjustment

Higher RAF scores result in higher capitation payments to health plans

Retrospective Reviews

Prospective Reviews

Concurrent Reviews

RADV Audits

HCC Coding Services | Hierarchical Condition Category Coding | Alpine Pro Health

Prospective HCC Coding

Pre-visit chart reviews that identify care gaps, flag unaddressed chronic conditions, and prepare physicians to document all HCC-relevant diagnoses before the patient encounter — maximizing capture rates from the first touchpoint.

  • Pre-visit medical record analysis for HCC gap identification
  • Care gap alerts sent to care teams before appointments
  • Physician prep reports highlighting conditions requiring documentation
  • Annual wellness visit (AWV) optimization for HCC recapture
  • Real-time condition flags via EMR integration
Gap Closure Pre-Visit Reviews AWV Optimization Care Team Alerts
Prospective HCC Coding

Retrospective HCC Coding

Post-encounter medical record review to capture missed or under-coded diagnoses. Our certified coders identify clinically-supported conditions that were not properly coded, correcting and supplementing risk scores to recover lost reimbursement.

  • Full retrospective chart review for completed encounters
  • Identification of missed or undercoded HCC diagnoses
  • Addendum and amendment support for documentation corrections
  • RAPS/EDPS-ready submission files for health plan reporting
  • Detailed gap analysis reports with revenue impact quantification
Revenue Recovery Chart Reviews RAPS/EDPS Ready Gap Analysis
Retrospective HCC Coding

AI-Assisted HCC Coding

Our LLM-powered platform analyzes clinical notes, lab results, and problem lists to surface HCC-relevant conditions for coder review — boosting productivity 3x while maintaining 98%+ accuracy. The same GenAI technology powering our inpatient and risk adjustment products.

  • NLP-driven analysis of unstructured clinical notes
  • Automated HCC code suggestion with evidence citations
  • Real-time RAF score calculation and impact preview
  • AI-flagged documentation gaps for physician query
  • Coder-in-the-loop validation for every suggested code
GenAI Powered NLP Analysis 3x Productivity Real-Time RAF
AI-Assisted HCC Coding

HCC Coding Audits & QA

Independent audits of coded encounters to validate accuracy, identify systematic errors, and ensure RADV audit readiness. Every coded encounter includes full documentation linkage and coding rationale — protecting your organization from CMS payment claw-backs.

  • Pre-submission coding accuracy audits
  • RADV audit preparation and mock audit support
  • Coder-level performance scorecards and feedback
  • Root-cause analysis of recurring coding errors
  • Compliance monitoring against CMS guidelines
RADV Readiness Pre-Submission Audit QA Scorecards Compliance
HCC Coding Audits
HCC Coding Audits

RAF Score Optimization

Comprehensive analysis of your current RAF scores against patient clinical profiles to identify documentation gaps, recapture opportunities, and potential risk score uplift across your entire member population — turning data into reimbursement.

  • Member-level RAF score analysis and benchmarking
  • Chronic condition recapture opportunity identification
  • Hierarchical condition prioritization by revenue impact
  • Population-level risk trending and forecasting reports
  • Executive dashboards with KPI tracking and RAF trends
Revenue Uplift Member Analysis RAF Trending Dashboards
RAF Score Optimization
Core Strengths

How We Deliver HCC Coding Excellence

Our GenAI-powered HCC coding platform combines clinical intelligence, certified coders, and automation to achieve outcomes no manual process can match.

🎯 Automated HCC Code Detection

Utilizes NLP and machine learning to extract and assign accurate HCC codes directly from unstructured clinical notes, problem lists, and discharge summaries — identifying conditions often missed in manual review.

📈 Real-Time RAF Score Calculation

Automatically updates RAF scores as diagnoses are coded, providing real-time visibility into patient risk and reimbursement impact across your entire Medicare Advantage membership.

🔍 Predictive Gap Identification

Identifies missed or unsupported diagnoses and flags documentation gaps before submission — preventing revenue leakage and reducing the risk of CMS payment adjustments.

🛡️ Audit-Ready Documentation Validation

Verifies that each HCC is fully supported by clinical evidence, ensuring readiness for RADV and payer audits. Every code includes a documentation trail that withstands CMS scrutiny.

⚡ Prospective & Concurrent HCC Review

Enables real-time and forward-looking reviews to ensure timely and accurate risk adjustment before, during, and after patient encounters — closing gaps across all review types.

🔄 Seamless EMR Integration

Integrates with 200+ EHR platforms including Epic, Cerner, Athena, and eClinicalWorks. Supports RAPS/EDPS submission formats and health plan data warehouse compatibility.

Why Alpine Pro Health

The HCC Coding Partner Built for Revenue Integrity

We combine CRC-certified coding expertise with AI automation to deliver accuracy, speed, and compliance — so you never leave reimbursement on the table.

CRC & CPC Certified Coders

Our team holds CRC (Certified Risk Adjustment Coder), CPC, and CCS credentials with an average of 8+ years in HCC and risk adjustment coding across Medicare Advantage plans.

98%+ Coding Accuracy Rate

Rigorous multi-level QA, dual-coder review for complex cases, and AI-driven validation ensure accuracy rates that consistently exceed CMS and RADV benchmark thresholds.

LLM-Powered Chart Analysis

Our NLP engine reads unstructured clinical notes to surface HCC-relevant diagnoses — identifying chronic conditions often missed in routine coding, improving capture rates by up to 40%.

RADV Audit-Ready

Every coded encounter includes full documentation linkage, supporting evidence citations, and coding rationale notes — ensuring you pass CMS RADV audits without payment claw-backs.

24–48 Hour Turnaround

Standard 24–48 hr TAT for prospective coding and 72 hrs for retrospective reviews, with dedicated project managers ensuring on-time delivery for high-volume engagements.

HIPAA Compliant & Secure

SOC 2-aligned infrastructure, end-to-end encryption, signed BAAs, and strict access controls protect your PHI at every step of the HCC coding workflow.

🎯

Enhanced Accuracy with AI & Clinical Intelligence

LLM-driven condition identification with coder validation

🛡️

Built-In Audit Readiness and Compliance

Full documentation trail for every coded HCC

💰

Faster Turnaround & Optimized Revenue

48-hour TAT with up to 40% RAF score improvement

Our Process

How We Deliver HCC Coding Excellence

A streamlined, AI-assisted workflow that ensures every chart is coded accurately, every condition is captured, and every submission is audit-ready.

📁

Chart Intake

Secure receipt via EMR integration or encrypted file transfer

🤖

AI Pre-Analysis

LLM scans notes and generates HCC-relevant condition summary

🏥

Expert Coding

CRC-certified coders validate and assign ICD-10 / HCC codes

QA & Audit

Multi-level quality review, error correction, documentation check

📊

Reporting

RAF reports, gap dashboards, and RAPS/EDPS-ready data files

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HCC Conditions We Code
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Conditions We Code

High-Impact HCC Categories We Specialize In

Our coders are trained across all 86+ CMS-HCC categories with deep expertise in the highest-weight chronic conditions that drive the most significant RAF score and reimbursement impact.

🫀
Cardiovascular DiseaseCHF, CAD, Atrial Fibrillation, Ischemic Heart Disease
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Diabetes MellitusType 1 & Type 2 with complications — nephropathy, neuropathy, retinopathy
🫁
COPD & Respiratory ConditionsCOPD, Asthma, Pulmonary Fibrosis, Respiratory Failure
🧠
Neurological ConditionsDementia, Parkinson's Disease, Seizure Disorders, Major Depression
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Chronic Kidney DiseaseCKD Stage 3–5, ESRD, Dialysis-dependent patients
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Cancer & NeoplasmsActive malignancies, metastatic disease, blood disorders
FAQ

HCC Coding — Frequently Asked Questions

Regular medical coding assigns CPT and ICD-10 codes for billing individual claims. HCC coding focuses specifically on mapping chronic diagnosis codes to risk categories used by CMS to calculate capitation payments for Medicare Advantage plans — it's about long-term risk profiling, not per-service billing.
CMS requires chronic conditions to be documented and coded at least once per calendar year (January 1–December 31). Conditions not recaptured annually will not count toward the member's risk score for the upcoming payment year. Our prospective HCC program is specifically designed to ensure annual recapture.
A RAF score is the numerical value representing a Medicare Advantage member's predicted cost relative to the average beneficiary (RAF = 1.0). Higher RAF scores reflect more complex, chronically ill patients. CMS uses RAF scores to adjust monthly capitation payments — a member with RAF 2.0 receives approximately double the base payment.
RADV (Risk Adjustment Data Validation) audits are conducted by CMS to verify that diagnoses submitted for risk adjustment are supported by medical record documentation. Poor HCC coding that lacks documentation linkage can result in significant payment recoupment. Our coding process includes full RADV-ready documentation to protect against audit risk.
Yes, we use AI-enabled LLM tools to enhance HCC coding accuracy in risk adjustment. Our technology identifies documentation gaps, validates clinical evidence, reduces coding errors, and ensures compliance — enabling providers to achieve accurate reimbursements while improving efficiency and patient care outcomes.
Yes. Alpine Pro Health integrates with 200+ EHR platforms including Epic, Cerner, Athena, and eClinicalWorks. We also support RAPS/EDPS submission formats and can deliver data compatible with your health plan reporting systems or data warehouse.
We stay updated with evolving CMS and HCC model guidelines through continuous coder education, regular compliance updates, and active monitoring of CMS announcements. All coders complete annual CMS-HCC model update training to ensure codes reflect the current year's risk adjustment factors.
Outsourcing HCC coding improves financial performance by increasing RAF score accuracy, reducing missed diagnoses, and ensuring RADV audit readiness. It allows health plans and providers to focus on patient care while experts optimize risk adjustment workflows, compliance, and overall reimbursement outcomes.

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