HCC Coders can assist with risk adjustment coding in Los Angeles CA
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. It is very important for health plan providers to ensure that they are conducting accurate and timely risk adjustment coding in Los Angeles CAso that they can meet CMS requirements and receive their reimbursements for care provided to Medicare Advantage enrollees. Health plan providers can turn to HCC Coders for support in carrying out vital coding activities.
We Provide Prospective Risk Adjustment Coding in Los Angeles CA
HCC codes must be re-reported every twelve months or health plan providers risk losing out on their reimbursements. At HCC Coders, we help make sure you meet your coding deadlines by providing prospective risk adjustment coding in Los Angeles CA. By conducting prospective coding activities, health plan providers can work ahead on annual visit forms, filling in known codes on existing patients without deadlines looming. Prospective risk adjustment coding makes it less likely that codes will be overlooked.
We Perform Retrospective Risk Adjustment Coding in Irvine CA
Audits and retrospective risk adjustment coding in Irvine CA help ensure that coding has been done correctly so that health plan providers can receive the maximum possible reimbursements. Benefits of our retrospective risk adjustment services include:
- 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