HCC CODING SOFTWARE

Optimize Risk Adjustment with Accurate HCC Coding & RAF Modeling

Meet CMS compliance demands, defend codes under audit, and improve population risk management. Our HCC Coding Engine aligns documentation to RAF requirements, validates codes against CMS criteria in real time, and builds audit-ready records.

Trusted by top U.S. healthcare providers 

Align documentation to RAF requirements, validate codes against CMS criteria in real time, and build audit-ready records

Maximize RAF accuracy

Our AI-powered engine captures documentation complexity your coders and providers miss—boosting RAF scores without extra admin burden.

3x boost in coder productivity

Our priority-based review directs coders only to the highest-value encounters, eliminating wasted time and driving results without increasing headcount.

Easy integration.  Instant ROI.

No disruption, no delays. Aptarro integrates into existing EMR workflows and starts delivering measurable results — typically within the first billing cycle.

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AI that flags issues—
so you don’t have to

AI-powered encounter review

Analyzes all documentation to catch coding gaps and find unreported chronic conditions.

Priority encounter review

Automatically routes only high-value encounters to coders for final review.

Real-time reporting & analytics

Measure impact instantly. Track RAF gains, coder performance, and revenue uplift in clear dashboards.

Our technology integrates with systems you already use.

Integrations
Case studies

Our customers get results

100%

of encounters are automatically reviewed for HCC gaps

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$6M

in uncovered RAF value in the first year

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Pricing model

Our pricing model follows a tiered, volume-based pricing model, where costs are determined based on the total monthly claim volume processed through the system. As the number of claims submitted increases, pricing tiers adjust accordingly. Our model is designed to scale with healthcare organizations' operational needs, ensuring that pricing remains aligned with the volume of claims managed within the revenue cycle process.

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Have a complex billing or coding challenge you want to automate?

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Proof

Real, satisfied customers

"The software has helped us improve throughput of charges with a reduced workface and higher percentage of efficiency."

Director of Revenue Cycle Management | Healthcare and Biotech

See Our Risk Adjustment Software in Action!

In 29 minutes, see how our risk adjustment tool reduces miscoding, improves RAF scores, and optimizes CME compliance, all while saving your team work.

defend codesrealtime validationimprove risk managementRead reviews

Automating Transactions: 
Cutting Down Workloads 
by Hundreds of Hours

We processed around 345,000 transactions a month and this product has saved hundreds of hours of staff time with the automated process it has. It can correct claims automatically without using any staff time.

Reviewed on
Apr 24, 2025

Reviewer function
Finance

Company size
<50M USD

Industry
Healthcare and Biotech

5.0

Aptarro's charge scrubber (formerly RCX) has been a staple in our practice for years. Th user-friendly design, wide array of possibilities in rule-writing, and customer support are beyond superb. The volume of denials this product has prevented is unfathomable.

Aptarro's Charge Scrubber: 
User-friendly Design and Superb Support

Industry
Healthcare and Biotech

Company size
<50M USD

Reviewer function
General Management

Reviewed on
Apr 17, 2025

5.0

We have been utilizing this product for 8 years now, and we could not imagine life without it! The company has provided superb customer service, and the product has helped us gain so many efficiencies!

Superb Customer Service
Revolutionizes Task Management

Industry
Healthcare and Biotech

Company size
250M-500M USD

Reviewer function
Software Development

Reviewed on
Apr 17, 2025

5.0

Hear it from our users

Customer reviews

Totally fair. But what if your current process is costing you more time and resources than you realize? With Aptarro, teams automate claim reviews and corrections before issues happen—freeing up hours and speeding up your revenue cycle. Most of our customers didn’t think they needed to switch—until they saw how much smoother things could run.

Change can feel overwhelming when you're already stretched thin. That’s why Aptarro is designed to take work off your plate—not add to it. With a no-code setup, out-of-the-box rules, and easy integration, you’ll be up and running quickly—without disrupting your day-to-day.

There might be. But cheaper options often come with hidden costs—like more denials, manual rework, or lack of support. Aptarro’s difference is in the details: constantly updated rules, expert-backed content, and real-time support. In the long run, it saves you more than it costs.

Nope. Aptarro was built for operations teams, not IT. You can manage and customize everything through a no-code platform—so you stay agile without waiting on tech resources. Of course, we’re here if you need support, but you’ll never be dependent on it.

Three things:

  • 1. Accuracy – Our rules engine is maintained by domain experts and constantly updated.
  • 2. Speed – You catch and correct issues before claims go out the door.
  • 3. Ease – We designed the platform to be intuitive and flexible, with no IT bottlenecks and responsive U.S.-based support.

That’s exactly why we made Aptarro fast to deploy. You can start with prebuilt rules and templates that match your specialty. Implementation is light-touch, and most customers see value within weeks—not months.

Aptarro removes repetitive tasks like coding cleanup and appeals by catching issues up front. This frees your team to focus on quality improvement, not firefighting. Less backlog. Less frustration. More time spent on what matters.

Absolutely. Aptarro keeps your billing aligned with evolving guidelines and payer requirements—helping you meet value-based care metrics and avoid penalties. Our reporting also supports performance tracking and improvement initiatives.

Everything you need to know about Aptarro’s HCC Coding engine

Frequently asked questions

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