RAF scores determine reimbursement for your Medicare Advantage patients, and internal medicine carries the highest chronic disease burden of any outpatient specialty. Althea Smart EHR includes built-in RAF Score Optimization and HCC Gap Detection that surface underdocumented chronic conditions at the point of care, visit by visit. 10% of your patients can represent 33% of your risk-adjusted revenue opportunity.
Faq Category: RAF & HCC
RAF scores determine reimbursement for your adult Medicare Advantage patients. Althea Smart EHR includes built-in RAF Score Optimization and HCC Gap Detection that surface alerts at the point of care, flagging underdocumented chronic conditions in real time so your coding is accurate and your reimbursement is maximized visit by visit.
RAF scores determine reimbursement in value-based care models. Each patient is assigned a Risk Adjustment Factor based on their documented chronic conditions; the higher the score, the higher the Medicare Advantage reimbursement. Althea Smart EHR includes built-in RAF Score Optimization and HCC Gap Detection that surface alerts at the point of care, so nothing is missed.