AI-Powered Value-Based Care Coding
Capture every condition. Maximize every contract.
BlackBook 2026 #1 AI-Powered Claims Automation · 9.67/10
25%
RAF accuracy improvement
30 min
Saved per physician per day
15%
Quality measures improvement
AI that captures the full complexity of your patient population — at the point of care. Higher RAF scores. Closed quality gaps. More revenue per life. Live in weeks. Not months.
The Value-Based Care Gap
You're leaving money on the table. Every contract cycle.
Risk adjustment is the engine of value-based care — but most organizations still run it on retrospective chart reviews. Conditions documented but never coded. HCCs missed because no one connected the labs to the diagnosis. Quality gaps left open until it's too late to close them. Retrospective reviews won't fix this. You need risk intelligence at the point of care.
How RapidVBC Works
Capture. Code. Close gaps. In real time.
View
Unified Patient Data View One view. Every document. Complete risk profile.
Every uploaded document organized, classified, and searchable in one place. Clinical labels applied automatically. Missing or inaccurate dates corrected. A longitudinal view of the patient's full clinical history — not just today's encounter.
Auto-classified documents · Longitudinal patient history
Code
HCC Coding & Suspecting World-class HCC suspecting. Every condition captured.
Confirmed conditions, recaptures, and new suspected diagnoses identified from structured and unstructured data. Catches conditions documented in progress notes but never coded, conditions supported by labs and meds but missing from the problem list, chronic conditions that need annual recapture.
9,500+ HCC codes · 80+ categories · SDOH + chronic recapture + V24→V28
Close
Quality Management & Gap Closure Close quality gaps at the point of care. Not after the reporting period ends.
Missing screenings. Open HEDIS measures. Uncaptured Stars opportunities. RapidVBC flags them in real time — while the provider can still act. Quality performance directly impacts your contract economics. Every open gap is revenue at risk.
HEDIS + Stars optimization · Real-time quality dashboards
Track
Point-of-Care Risk Adjustment Risk adjustment intelligence — embedded in your workflow.
Real-time analytics on HCC coding accuracy, RAF score trends, and documentation opportunities. Drill into risk trajectories, outliers, and performance against capitated contract benchmarks across your entire managed population.
RAF trend + outlier analytics · Performance vs capitated benchmarks
Query
Provider Queries Smarter queries. Faster responses. Better documentation.
When clinical evidence supports a condition but documentation is incomplete, RapidVBC generates contextual provider queries automatically. Specific. Evidence-backed. Compliant. Routed directly to the provider within the EHR — during the encounter.
Auto-generated, evidence-backed · Delivered during the encounter
Why RapidVBC
Risk adjustment that works at the point of care. Not after the fact.
Unification
Unified Platform for Risk, Quality + Outreach One platform. Not five tools.
Most VBC organizations cobble together separate tools for HCC coding, risk analytics, quality gap tracking, SDOH, provider queries, and outreach — different vendors, different workflows, different silos. RapidVBC unifies all of it into one platform, with workflows orchestrated across provider, payer, and patient.
HCC + SDOH + HEDIS + Stars + outreach · Provider · payer · patient orchestration
Configurability
Configurable Rules + Next-Best-Action Writeback Your contracts. Your protocols. Your workflows.
Off-the-shelf tools force your team to adapt to vendor logic. Different payers have different qualification, exclusion, and closure criteria for the same measure. RapidVBC lets you configure every care gap — and writes the next best action directly back into the EHR. Providers never leave their native workflow.
Per-payer rule configuration · Auto-writeback into the EHR
Reconciliation
Payer Reconciliation + Contestability Trust, but verify — every roster, every gap.
RapidVBC monitors payer portals, ingests payer rosters, and continuously reconciles them against your billing and visit history. The platform flags patients who appear on your roster but have never visited, and surfaces care gaps that payers still mark non-compliant despite documented closure. You can submit clinical evidence to contest gaps and challenge misattribution — directly from the workflow.
Automated roster reconciliation · One-click contest workflow
Activation
Smart Rules-Based Patient Outreach Close the loop — not just identify it.
RapidVBC enables configurable, rules-based outreach tied directly to the care gap engine. Define who gets contacted, for which gaps, through which channels, and on what cadence. Set distinct follow-up timelines. Outreach stops automatically when the patient accepts, declines, or responds. Integrates with your existing patient CRM or uses native communication channels.
Configurable cadences · multi-channel · Auto-stop on patient response
Result
What our customers are saying
25%
RAF accuracy improvement
30 min
Saved per physician per day
15%
Quality measures improvement
$2.2M
Value realized via auto-coding
45%
New conditions identified
Purpose-Built
Built for value-based care organizations.
Purpose-built for your organization.
Accountable Care Organizations
Maximize shared savings through accurate risk adjustment. Close care gaps. Hit quality benchmarks. Monitor RAF performance and financial yield across your entire provider network.
FQHCs
Compliance with state-specific guidelines. Maximize recovery on limited-resource claims. Financial sustainability — without adding headcount.
Medicare Advantage Plans
Accurate HCC capture. Defensible RAF scores. CMS-compliant documentation. Population-level risk analytics to optimize bid accuracy and contract performance.
Physician Groups
AI-powered risk adjustment at the point of care. 30 minutes saved per physician per day. No workflow disruption. Better documentation quality without the documentation burden.
Health Systems
Manage risk adjustment across multiple facilities and payer contracts. Track quality and financial performance against capitated benchmarks. Enterprise-grade scale.
Don't see your org type?
If you manage risk-based contracts, RapidVBC can help. Tell us how your VBC strategy works.
Contact us to see how we can work with your organization
Talk to us
With RapidVBC, we've seen a 22% reduction in readmission rates and $2.2M in additional appropriate reimbursement through more accurate risk capture.
Brian Jonson
Chief Medical Officer, Leading Health System
22%
reduction in readmission rates
$2.2M
additional reimbursement
One platform. Every contract type
Most VBC organizations also run fee-for-service contracts in parallel. RapidVBC pairs with RapidCode (autonomous FFS coding) and RapidRecovery (denial management) — so the same intelligence layer covers risk-based and fee-for-service across your entire book.
Works with your existing systems.
FHIR-native. HL7 compatible. API-first. Bi-directional sync. No rip-and-replace.
Transform your value-based care performance in 30 days or less.
Blackbook 2026 : #1 AI-Powered Claims Automation (9.7/10)
Frost & Sullivan 2025 : Technology Innovation Leader
Blackbook 2025 : #1 AI-Powered Claims Automation (9.61/10)