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APTARRO’S HCC CODING SOFTWARE

Capture more HCC coding revenue without extra work.

Your RAF scores should reflect the true health of your patient population. Aptarro’s HCC Coding Engine ensures accurate risk adjustment by aligning provider documentation with coding. AI-powered automation finds missed coding opportunities, boosts coder productivity, and eliminates administrative burden—so you capture every dollar you deserve. 

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Group 1413372091
Problem

Incomplete coding costs you millions.

20% of Medicare Advantage claims are miscoded
40% of chronic conditions go unreported
30% of HCC codes fail the CMS validation process due to lack of documentation
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The Solution

AI-powered HCC coding that pays for itself

Aptarro’s AI scans every encounter in real time, identifying missed coding opportunities and guiding coders to high-value cases. The result? Higher RAF scores, more revenue, and no added workload for providers.

How it works

Step 1

AI-Driven Encounter Review

Scans every patient encounter, flagging potential coding gaps instantly.

Step 2

Priority Coding Review

Directs coders to the most impactful encounters for maximum revenue.

Step 3

Seamless EMR Integration

 Works within your existing workflow—no disruption, fast implementation.

Why it works

radar
 

Immediate
ROI

 

See results in your first billing cycle—no waiting months for impact.
accuracy
 

Proven
Accuracy

 

Organizations have increased RAF scores by 34%, unlocking millions.
optimization
 

No Extra Work for Providers

 

Doctors focus on care. Coders work smarter. AI handles the rest.
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Capture more revenue without extra work

Missed HCC codes = missed revenue. Aptarro’s HCC Coding Engine closes the gap between provider documentation and coding, ensuring every diagnosis is captured—and every dollar is too. 

Key benefits:

Higher RAF scores = higher revenue

More accurate coding leads to more accurate risk adjustment payments—without changing provider behavior.

 
300% boost in coder productivity

Our AI prioritizes high-value encounters, helping coders uncover up to $250K/month in additional RAF revenue—per coder.

 
Quick to implement, fast ROI

Fully integrates into your workflow and delivers results in weeks—not months.                            

HCC Coding Engine feature checklist

 EMR integration ready Plug into existing systems without disruption. 
 AI-powered gap detection  Identify missed HCC codes in real time. 
 Priority encounter review  Focus coders on high-impact cases to maximize RAF scores.
 Exception-based workflow Stop wasting time on low-value reviews.
 Accurate HCC submission Reduce denials and boost claim success.
 Compliance confidence Stay audit-ready by coding with confidence. 
 Coder efficiency boost Do more with less—no extra staff needed.
 Provider-friendly  No added documentation burden—just more revenue captured. 
 Real-time coding validation  Catch errors before submission to avoid costly rework. 
 Audit trail & logging  Maintain clear, accessible records for compliance and review. 
 Built-in compliance updates  Stay aligned with the latest CMS and HCC model guidelines. 
 Reporting & analytics dashboards  Monitor coder performance, RAF trends, and impact over time.

 

Proof

Real, satisfied customers

"Within 30 days we were up and running. On day one we saw immediate value by capturing missed RAF revenue. The increase in revenue, required zero process changes to our clinical operations and optimized our coder’s productivity. Any value-based care organization should use Aptarro, it pays for itself ten-fold." 
Shannon HublerCOO
"In a single week we saw an additional $62.5K+ in otherwise missing RAF value by using the Aptarro HCC Coding Software. With Aptarro, we were easily able to scale up with value-based contracts. The value of Aptarro software is unprecedented, in fact, it’s a necessity for any organization with risk-based contracts." 
Kelly Macken-MarbleCEO
“The automation Aptarro brought to our HCC coding process led to a dramatic productivity hike in our organization and is a key factor in our success with MSSP. The technology is extremely user-friendly and the Aptarro team is flexible and responsive." 
Kimberly CliftonDirector of ACO Operations
“Based on our existing relationship with Aptarro, we knew they were the right choice to help us. We had three specific requirements for an HCC coding solution, and Aptarro was able to accommodate them all. We look forward to continuing this successful partnership.” 
Chris CousinsVice President Managed Care & Ancillary Services

Ready to capture more revenue?

See how Aptarro’s HCC Coding Engine boosts RAF accuracy and maximizes revenue—without adding work for your team.
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