For Health Plans & MA Organizations
RAF accuracy that holds up under RADV
A Medicare Advantage plan or risk-bearing entity lives or dies on RAF accuracy that is both complete and defensible. MedCodex provides certified HCC and risk adjustment coding, prospective and retrospective chart review, and suspecting support built to survive validation, not just look good on submission.
HIPAA compliant · BAA
Certified coders
98%+ accuracy
Where we help
Built for how you actually get paid
RAF accuracy under the current model
Coding aligned to the current CMS-HCC model version, so scores reflect real patient acuity instead of outdated category mappings.
RADV-defensible documentation
Chart review built around what actually survives validation, not just what technically supports a code on paper.
Prospective and retrospective coverage
Pre-visit suspecting to close gaps before submission, plus retrospective review to catch what was missed.
Free: The HCC / RAF Capture Audit ChecklistPDF checklist · email + instant download
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Insights
Guidance for your team
See our accuracy on your own charts
Free pilot, no commitment. We code a sample and show you what is recoverable.