Stop the Leakage.
Reclaim Your Rightful Revenue.
Inaccurate HCC coding isn't just a compliance risk—it's a financial drain. Our clients don't just survive audits; they thrive. We deliver a 21% average lift in RAF scores while ensuring total audit-proof integrity.
HCCCODING.
Stop the Leakage.
Reclaim Your Rightful Revenue.
Inaccurate HCC coding isn't just a compliance risk—it's a financial drain. Our clients don't just survive audits; they thrive. We deliver a 21% average lift in RAF scores while ensuring total audit-proof integrity.
The Anatomy of Down-Coding.
See exactly how Adept Minds catches the hidden complexity that human coders miss under pressure.
The Diabetic Complication Gap
Standard Human Coding"Physician note reads: 'Patient has Type 2 Diabetes. Complains of tingling and numbness in feet.'"
Coder assigns E11.9 (Diabetes without complications) because 'Neuropathy' wasn't explicitly diagnosed.
The Diabetic Complication Gap
Adept Minds AI ViewAI semantic engine links 'tingling/numbness' to Diabetes. Auto-generates a physician query to confirm Diabetic Neuropathy.
HCC 18 (Diabetes with Neurologic Complications)
The Unstaged Lab Result Trap
Standard Human Coding"Routine lab results show an eGFR of 28 mL/min. The physician reviews the labs but doesn't explicitly mention it in the assessment."
Coder ignores the lab value. Chronic Kidney Disease is left unstaged or completely omitted from the claim.
The Unstaged Lab Result Trap
Adept Minds AI ViewAI scans 100% of structured lab data, flags the consecutive eGFR of 28, and prompts the MD to stage CKD at the point of care.
HCC 137 (Chronic Kidney Disease, Stage 4)
The Historical Recapture Drop
Standard Human Coding"Patient had Severe Malnutrition documented by a specialist last year. During this year's annual wellness visit, it is forgotten."
The chronic condition drops off the patient's record for the calendar year. The payer assumes the patient is healthier.
The Historical Recapture Drop
Adept Minds AI ViewRetrospective AI engine cross-references 3 years of historical claims, identifies the dropped HCC, and surfaces it for the current encounter.
HCC 21 (Protein-Calorie Malnutrition)
Two lenses.
One intelligence layer.
Recover what was missed yesterday. Capture everything at the point of care tomorrow. Both on your infrastructure — zero data egress.
Our AI and clinical experts audit your historical records to surface every missed HCC code, under-coded condition, and documentation gap. Revenue your team earned but never collected — recovered and returned.
Surface suspect conditions before the encounter. The AI pre-reads the chart so your physician walks in prepared — documentation complete, codes accurate from the first word spoken.
RAF Lift
Additional risk score captured vs unassisted human coding
Avg Recovery
Per year at a 300-bed hospital on risk-adjusted schemes
Saved Daily
Per physician returned from documentation to patient care
Data Egress
Patient data stays on your servers. Every inference is local.
Answering Your Critical Audit Questions.
Proactive identification of documentation gaps is the only way to protect your revenue from payer clawbacks.
How can I prepare for a RAC or Payer Audit without panicking?
Why is my RAF score dropping despite seeing sicker patients?
How do I stop 'down-coding' from reducing my revenue?
How do I keep up with annual ICD-10 and HCC model updates?
Where are my biggest documentation gaps for Risk Adjustment?
Your people know your patients.
We help them work faster.
Your people know your patients. We help them work faster. Adept Minds AI handles the paperwork. Your team handles the judgment. That's how it should be.
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