What Is RAF Totalizer?
RAF Totalizer is a smart, AI-powered solution designed to help healthcare professionals calculate Risk Adjustment Factor (RAF) scores with precision and speed. It integrates demographic data, diagnosis codes, and disease interactions to deliver a comprehensive view of patient health.
RAF Totalizer
How RAF Totalizer Enhances Clinical and Financial Outcomes?
RAF Totalizer uses advanced algorithms to analyze.
An HCC RAF score of 1.00 represents average resource use. Scores above 1.00 indicate higher care complexity and reimbursement potential.
Demographic Risk Factors
Age, gender, community, and institutional data
Diagnosis Risk Scores
Based on HCC codes from ICD-10 diagnoses
Disease Interaction Scores
Reflecting chronic conditions and comorbidities
Treatment & Utilization Patterns
Incorporating medication history and healthcare usage to refine RAF accuracy
Documentation Quality
Evaluating coding completeness and identifying gaps to ensure compliance and maximize outcomes
Key Benefits of RAF Totalizer
Accurate Risk Stratification
Identify and manage high-risk patients effectively
Optimized Reimbursement
Maximize revenue through precise RAF score calculations
Predictive Health Analytics
Forecast future care needs and allocate resources efficiently
CMS Compliance Reporting
Avoid penalties with accurate documentation and coding