Products

Hierarchical Condition Categories (HCC) Analytics




Can you:
Calculate members’ RAF Scores?
Identify and prioritize suspected missing and/or miscoded ICD-9 codes and
communicate them to your providers?
Track ROI on Risk Adjustment Programs?

Voyager’s HCC Analytics Module provides the ability to:
Identify suspect missing ICD-9 codes from historical encounter data
Store and report on member HCC history
Calculate expected RAF score
Import and analysis based on clues from unqualified sources:
- Authorizations
- Laboratory
- DME
Provide member level suspect list of missing ICD9 codes and coding errors
Run provider profiles which indicate how a provider’s submissions compare to the population and benchmarks
Calculate RAF scores based on varied dates of collection and cut off dates
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