RAAPID

by RAAPID
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OVERVIEW

AI-powered risk adjustment platform using neuro-symbolic AI for defensible HCC coding, auditing, and clinical decision support in value-based care.

RAAPID is a Novel Clinical AI Platform that utilizes proprietary Neuro-Symbolic AI and Natural Language Processing (NLP) to provide a transparent, evidence-backed audit trail for every Hierarchical Condition Category (HCC) code, linking codes directly to MEAT-based documentation in clinical notes. The platform is purpose-built for Health Plans, Health Systems, Providers, and Tech & Service Partners to maximize coding accuracy, enhance clinical decisions, and achieve compliance.

It offers a unified suite for the end-to-end value-based care journey, including:

  • Prospective Risk Adjustment: Patient prioritization, pre-visit planning, and gap closure to improve care quality.
  • Retrospective Risk Adjustment: Autonomous chart review, HCC identification, and MEAT validation workflow to reduce project timelines from months to days.
  • RADV Audit Solution: Runs MEAT evidence-first checks, generates export files, and manages responses with clear audit trails for extrapolation protection.

Key technologies include DocumentAI, Knowledge Graph, Machine Learning, and Deep Learning, which process unstructured clinical notes at scale. RAAPID claims industry-leading performance with 92%+ out-of-the-box accuracy (rising to over 98% with final coder validation), productivity gains of 60-80% for coding teams, and a 10:1 guaranteed ROI. It is a secure, cloud-based SaaS solution with API availability for seamless integration into existing systems.

RATING & STATS

Customers
100+
Founded
2022

KEY FEATURES

  • Neuro-Symbolic AI for Explainable HCC Coding
  • MEAT Evidence-Backed Documentation & Justification
  • Retrospective Risk Adjustment Automation
  • Prospective Risk Adjustment & Patient Stratification
  • RADV Audit Defense Solution
  • Clinical NLP APIs (AI as a Service)
  • Clinical Workflow Integration
  • Real-Time Data Analysis & Predictive Analytics

PRICING

Model: enterprise
Pricing is not publicly disclosed. Contact the vendor for a custom quote based on organizational requirements and scope of deployment (Prospective, Retrospective, RADV, or AIaaS).

TECHNICAL DETAILS

Deployment: saas, cloud
Platforms: web, ios, android
📱 Mobile Apps🔌 API Available

USE CASES

Maximizing HCC Coding Accuracy and RAF ScoresRADV Audit Preparedness and DefenseClinical Decision Support for ProvidersStreamlining Retrospective Chart ReviewValue-Based Care Transition

INTEGRATIONS

EHR/EMR Systems

COMPLIANCE & SECURITY

Compliance:
HITRUST i1HIPAASOC 2 Type 2
Security Features:
  • 🔒Data Security
  • 🔒Audit Logging
  • 🔒Access Management
  • 🔒Encryption (at rest and in transit - implied by cloud partners)

SUPPORT & IMPLEMENTATION

Support: email, phone, live online, in person
Target Company Size: medium, enterprise
TRAINING AVAILABLE

PROS & CONS

✓ Pros:
  • +Industry-leading accuracy (98%+) with defensible, MEAT-backed documentation.
  • +Guaranteed 10:1 ROI and significant productivity gains (60-80%).
  • +Unified platform for Prospective, Retrospective, and RADV audit.
  • +High-level security and compliance (HITRUST i1, HIPAA, SOC 2 Type 2).
✗ Cons:
  • -Pricing is not publicly disclosed (enterprise model).
  • -Requires integration with existing EMR/EHR systems.
  • -Limited public reviews/ratings available.

TRY IT OUT

ABOUT RAAPID

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