Take the guesswork out of your risk adjustment with Episource’s HCC Explorer, a powerful and free risk score calculator. Designed to simplify the complexities of risk adjustment, the HCC Explorer provides a quick and easy way to calculate risk scores and risk adjustment premiums. By leveraging this tool, healthcare organizations can gain critical insights into the relative health of their members and better understand the financial impacts tied to risk adjustment models.

How Does the HCC Explorer Work?

The intuitive interface offers prompts to build a profile for members. Prompts include demographics, HCC or Dx codes for the member’s documented conditions, and information such as dates of service year and risk model. After hitting submit, you’ll instantly receive a comprehensive breakdown of the member’s demographic risk factor, HCC risk factor, total risk score, estimated monthly premium, and other relevant data points. This real-time feedback helps you make informed decisions with ease.

Find the Right Code Every Time

Having trouble discerning between similar codes for a specific condition? The HCC Explorer can help with code disambiguation. By entering the condition into the HCC Reference feature, you’ll receive a detailed list of related HCC and Dx codes, complete with descriptions and associated RAF scores. This ensures greater accuracy and compliance while reducing the risk of errors in coding.

Access More Insights

Looking to deepen your understanding of HCC content? Our HCC Tearsheet 2025 offers a comprehensive resource packed with up-to-date information, including coding guidelines, condition-specific insights, and critical updates on risk adjustment methodology. Pair this valuable tool with our risk score calculator to ensure your team has all the resources needed for accurate and efficient risk adjustment. Download it here to gain a competitive edge and stay ahead of the curve in developing effective risk adjustment strategies. Whether you’re managing member health data, using a risk score calculator to streamline processes, or optimizing financial outcomes, the HCC Tearsheet is your go-to guide for informed decision-making.

Whether you’re streamlining workflows, improving coding accuracy, or optimizing risk adjustment strategies, Episource’s HCC Explorer empowers you with the tools and insights needed to maximize efficiency, outcomes, and overall performance. Try it today!