HCC Coders can assist with risk adjustment coding in San Antonio TX
The CMS Risk Adjustment Model was established to help predict heath care costs. In this model, thousands of ICD 10 diagnosis codes are used to classify patients into the appropriate HCC code categories, which are in turn used to determine reimbursements. Obviously, as a health plan provider you want to know that your risk adjustment coding in San Antonio TX is being done correctly so you can secure the maximum reimbursements from Medicare Advantage. Health plan providers who want the best possible coding staff use HCC Coders to find their risk adjustment coders.
We Provide Prospective Risk Adjustment Coding in San Antonio TX
HCC codes must be re-reported every twelve months or health plan providers risk losing out on their reimbursements. Prospective risk adjustment coding in San Antonio TX can help prevent revenue gaps due to missed re-reporting deadlines. By working ahead on prospective annual visit forms, we enhance accuracy and efficiency by identifying potential coding problems or missed HCC codes before they get submitted.
We Perform Retrospective Risk Adjustment Coding in San Antonio TX
Audits and retrospective risk adjustment coding in San Antonio TX help ensure that coding has been done correctly so that health plan providers can receive the maximum possible reimbursements. The following activities are included in our retrospective risk adjustment services:
- Validation of diagnosis codes with medical records
- Highlighting of any key coding or documentation errors or omissions
- Inclusion of Part C and Part D coding in HCC data capture
- Identifying opportunities for coding improvement and education using summary reports of physician chart audits