Raapid.AI software

Risk Adjustment program’s success completely depends on capturing complete member/patient risk. However, with stringent deadlines of CMS/HHS and high seasonal volume variability makes it difficult to handle large volumes of medical charts.

There is a major crackdown on fraudulent or inaccurate risk-adjustment scores, with an increased number of RADV audits and OIG audits. Negative media attention and Lawsuits damaged the reputation. There is a need to shift processes to look both ways, stay compliant and get ahead of audits before they happen.