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Products

We offer high-impact software tools and consulting services to support healthcare risk adjustment and revenue management operations.

Our Risk Adjustment calculators are tailored to the latest annual versions of CMS-HCC, RxHCC, ESRD, PACE, and HHS-HCC models.

NEW Software Base Year 2023:

1. Blended HCCs

• Part C: ICD → V24 and V28 HCC → Reclassification, reasons and blended score
• Part D: ICD → R08 and R05 HCC Drug Benefit codes and scores
• ESRD-Dialysis: ICD → E24 and E21 HCC Dialysis codes and scores
• ESRD-Graft: ICD → E24 and E21 HCC Functioning Graft codes and scores
• PACE Part C: ICD → V22 HCC PACE Part A+B codes and scores

2. Payment ICDs

• Part C: Disease → V24 and V28 HCC → ICD code blended scores and tips
• Score changes: 2023-2026
• Payment changes: 2023-2026