HCC Coders can assist with risk adjustment coding in Riverside 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 Riverside CA so 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 Riverside CA
If HCC codes for all patients are not re-reported annually, health plan providers risk 6-month revenue gaps in their reimbursements. At HCC Coders, we help make sure you meet your coding deadlines by providing prospective risk adjustment coding in Riverside CA. 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 Riverside CA
HCC Coders also provides assistance with retrospective risk adjustment coding in Riverside CA. This helps ensure coding accuracy and allows health plan providers to rest assured they are getting the right 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