HCC Capture
Risk-adjusted revenue, captured live.
SHINE identifies HCC and RAF opportunities live during the visit — from chart history, claims data and current conversation — and drafts the supporting documentation language so revenue isn't left on the table.
HIPAA / SOC 2 Live in <7 days 4.9 / 5 clinician rating
Key benefits
Capture every HCC you've earned, with the audit trail to defend it.
Suspect HCCs surfaced live
From chart, claims and current conversation — in the note before sign-off.
Supporting language drafted
Codable, billable specificity in the clinician's documentation voice.
RAF tracker
Per-provider and per-panel capture-rate dashboards.
Persistent-HCC recapture
Year-over-year prompts for conditions requiring annual recapture.
Audit-ready trail
Source for every suspect logged with timestamp and clinician sign-off.
VBC contract alignment
Works across Medicare, Medicare Advantage and ACO REACH / MSSP.
Clinical use cases
Risk-adjusted revenue protected across every VBC contract.
01 · USE CASE
Medicare Advantage Panels
Capture every HCC you've earned.
- Real-time suspect detection
- Drafted documentation language
- Year-over-year recapture prompts
02 · USE CASE
ACO Programs
Hit RAF targets with defendable evidence.
- Per-panel RAF dashboards
- Documentation-defensibility scoring
- Capture-trend coaching
03 · USE CASE
RCM & Finance
Track the revenue impact.
- Provider and site rollups
- Month-over-month RAF trends
- Revenue-impact reporting
+18%
HCC capture lift
$220
Per Medicare visit
100%
Audit-ready
0
Coder queue
What RCM leaders say
Real feedback from healthcare professionals.
“SHINE found six-figure HCC revenue we were leaving on the table — and gave us the documentation to defend every dollar.”
“Our RAF score lifted 0.18 in the first year.”
01Is this safe under CMS audit?
Every HCC capture is backed by clinician-signed documentation language and a logged source — the audit trail is built in by default.
02Which VBC contracts does it support?
Traditional Medicare, Medicare Advantage and ACO REACH / MSSP risk-adjusted contracts.
03Can finance teams see capture trends?
Yes. Dashboards roll up RAF, capture rate and revenue impact by provider, site and cohort — exportable for monthly reviews.
04How are persistent HCCs handled?
SHINE surfaces conditions that haven't been recaptured this year, prompting the clinician to address them during the next eligible visit.
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Keep exploring
Capture every HCC. Defend every code.
See HCC capture live on your Medicare panel.