Risk Adjustment Coding / HCC Coding

Fast, accurate estimations of member risk using AI-based coding

Achieve the fastest turnaround times in risk adjustment coding with Datavant’s uniquely consolidated approach to retrieval and coding.

Section heading

Paint an accurate picture of the health of your members

Reduced errors with coding automation

Accurate risk adjustment leading to maximum reimbursement

Fourth benefit headline

Identify and mitigate costly healthcare gaps for optimal patient-provider interactions.

AI-enabled coding tools minimize human error in the coding process, leading to more accurate outcomes.

Capture the complexity and severity of a member’s health status, ensuring maximum reimbursement.

Add your fourth benefit description here. This text is fully editable from the block editor.

End-to-end risk adjustment coding

Experience Datavant’s standard coding and quality processes after retrieving charts.

Step 1

Project initiation

Includes data input/output formats and established reporting frequency.

Step 2

Chart acquisition and preparation

Includes data input/output formats and established reporting frequency.

Step 3

Coding review

Analyze charts and assign diagnosis codes that are supported that risk adjust.

Step 4

Tiered quality assurance

Conduct comprehensive quality audits. Includes targeted, trend-based, random sampling for accuracy and completeness across coder, project, and client levels.

Step 5

Results delivery

Fast and actionable coding data to make decisions early in your program.

Eyebrow

Enhance coding precision and speed

Enhance coding accuracy and completeness while achieving superior efficiency and operational performance through AI automation.

Multiple levels of review

Enhance coding accuracy and completeness

Datavant offers first pass coding, as well as second- and third-level review to improve accuracy of previously-coded charts.

Automated code review

Automate code review with natural language processing

Datavant’s proprietary AI-enabled coding engine uses NLP to extract codes from charts and compare to prior coding results.

Multiplan support

Access risk adjustment coding for all types of health plans

Datavant provides risk adjustment coding for all types of health plans.

• Health plans supported include:
  • Medicare Advantage
  • Commercial health plans
  • Medicaid

Trusted by

93%

Leading Medicare Advantage, Medicaid, and ACA health plans for over 45 years

Retained by

98%

Health plan customers annually

Experience

20% to 40%

Lower fees than other vendors’ total chart acquisition costs

Explore our offerings

Health plans

Unlock the hidden value of your members’ health records

Read more](/content/who-we-serve/health-plans/index.html)

Health data retrieval

Seamless and secure access to health data

Read more](/content/solutions/health-data-retrieval/index.html)

HIM coding

Enhance billing so you can focus on patient care

Read more](/content/solutions/him-coding/index.html)

Real-world data ecosystem

Your gateway to seamless, compliant data connectivity

Read more](/content/partnerships/real-world-data-ecosystem/index.html)

Ready to take the next step?

Explore how Datavant protects, connects, and delivers the world’s health data through data logistics. Ensure every decision in healthcare is powered by relevant data.