HCC Analytics for ACOs
Health Compiler’s HCC Analytics platform gives ACOs the visibility and precision they need to improve documentation, capture accurate risk, and drive better financial and clinical performance across MSSP, ACO REACH, and other value-based care models.
Why HCC Coding Accuracy Matters
Incomplete or inaccurate coding leads to lost revenue, audit exposure, and missed opportunities for care management. Your RAF scores directly impact payments and performance benchmarks. Health Compiler helps ACOs:
- Identify risk and coding gaps
- Improve documentation integrity
- Track coding performance across providers and contracts
Even a small increase in your Risk Adjustment Factor (RAF) can drive measurable improvements in shared savings.
Platform Capabilities
Longitudinal Patient Record
A continuous, time-linked view of a patient’s clinical history across multiple encounters, used for HCC gap closure, RAF calculation, and care management.
Suspect Condition Detection
AI-powered models surface uncoded yet probable conditions based on patient history, demographics, and clinical patterns.
RAF Score Tracking
Track current and projected RAF scores at the patient, provider, and contract levels. Understand how risk scoring impacts financials in real time.
Provider-Level Insights
Monitor provider documentation behavior, spot outliers, benchmark performance, and support targeted education initiatives.
Seamless Workflow Integration
Easily integrate HealthCompiler’s insights into existing care management, population health, or EMR platforms with lightweight APIs and exportable reports—no heavy IT lift required.
Risk Gap Identification
Quickly identify missing or under-documented HCCs by analyzing claims, EHR, and encounter data. Prioritize patients based on risk impact.
How HCC Analytics Helps ACOs Win in Value-Based Care
Maximize Risk-Adjusted Revenue
- Capture complete and accurate risk using CMS-HCC models
- Ensure fair, risk-adjusted payments
- Forecast and manage healthcare costs with confidence
- Hit savings targets with even minor RAF score improvements
Enhance Care Coordination & Outcomes
- Detect care gaps and undocumented conditions
- Target interventions for high-risk populations
- Improve population health through smarter care delivery
- Support ongoing provider training and education
Increase Operational Efficiency
- Streamline documentation workflows
- Automate coding analysis to reduce staff burden
- Improve data quality and drive better decisions
Built for ACOs
Health Compiler is designed for evolving CMS risk models (V24, V28, and beyond) and supports both concurrent and retrospective reviews. The platform brings together claims, clinical, and operational data to give you a unified, actionable view of patient risk.
Why Choose Health Compiler?
- Rapid onboarding and implementation
- Interoperable with most EMRs and data sources
- Purpose-built dashboards for clinical, quality, and finance teams
- Backed by deep expertise in HCC optimization and risk adjustment
Let’s Strengthen Your ACO’s Performance
Discover how HCC analytics can improve your coding accuracy, care quality, and financial outcomes.
