HCC Coders can assist with risk adjustment coding in Oklahoma City OK
Risk adjustment coding is a vital part of the CMS Risk Adjustment Model, which utilizes thousands of ICD 10 diagnosis codes and 80 HCC codes to track and predict patient care needs and expenses. Naturally, health plan providers need accurate risk adjustment coding in Oklahoma City OK in order to comply with CMS requirements and secure appropriate reimbursements from Medicare Advantage. By providing the staff needed to complete risk adjustment coding, HCC Coders helps health plan providers comply with their coding obligations.
We Provide Prospective Risk Adjustment Coding in Oklahoma City OK
HCC codes must be re-reported every twelve months or health plan providers risk losing out on their reimbursements. Prospective risk adjustment coding in Oklahoma City OK can help prevent revenue gaps due to missed re-reporting deadlines. 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 Oklahoma City OK
Audits and retrospective risk adjustment coding in Oklahoma City OK help ensure that coding has been done correctly so that health plan providers can receive the maximum possible reimbursements. As part of our retrospective risk adjustment coding services, we will complete the following:
- 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