RAAPID

by RAAPIDraapidinc.com
VISIT OFFICIAL WEBSITE →

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.

About RAAPID

RAAPID is a healthcare AI company backed by Microsoft's M12 venture fund, specializing in risk adjustment solutions for value-based care. The company is HITRUST Certified, HIPAA compliant, SOC 2 Type 2 verified, and an accredited Great Place to Work. RAAPID is trusted by leading healthcare organizations nationwide and has a proven track record of delivering measurable ROI. The founding team has been specializing in AI-powered healthcare solutions since 2009.

Headquarters: 12806 Townepark Way, Louisville, Kentucky 40243

Contact: +1 (502) 699-3044 | [email protected] | www.raapidinc.com

Technical Details

  • Azure-native architecture
  • Deployable in the customer's Azure tenant or RAAPID-hosted Azure tenant
  • Microsoft Azure Marketplace transactable (MACC applicable)
  • EHR-agnostic integration
  • Implementation timeline: 2-6 weeks with minimal IT resources

RATING & STATS

Customers
Trusted by leading healthcare organizations nationwide
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
  • Azure-Native Deployment (Customer Tenant or RAAPID Tenant)
  • Microsoft Azure Marketplace Transactable (MACC Eligible)
  • DocumentAI for Complex Medical Document Processing

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
🔌 API Available

USE CASES

Maximizing HCC Coding Accuracy and RAF ScoresRADV Audit Preparedness and DefenseClinical Decision Support for ProvidersStreamlining Retrospective Chart ReviewValue-Based Care TransitionMedicare Advantage Risk AdjustmentACO/MSSP Risk AdjustmentACA Risk AdjustmentMedicaid Risk AdjustmentPre-Visit Planning and Patient Prioritization

INTEGRATIONS

EHR/EMR SystemsMicrosoft Azure Services

COMPLIANCE & SECURITY

Compliance:
HITRUST CertifiedHIPAASOC 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
Implementation Time: 2-6 weeks
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 Certified, 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

RELATED RISK ADJUSTMENT AND HCC CODING SOFTWARE

BROWSE SOFTWARE IN RISK ADJUSTMENT AND HCC CODING