HCC Coders can assist with risk adjustment coding in St Louis MO
The CMS Risk Adjustment Model utilizes thousands of ICD 10 codes to support patient categorization into dozens of HCC codes, all in the name of predicting health care expenditures and determining insurance reimbursements. Obviously, as a health plan provider you want to know that your risk adjustment coding in St Louis MO is being done correctly so you can secure the maximum reimbursements from Medicare Advantage. HCC Coders can help health plan providers by providing the staff needed to complete coding activities.
We Provide Prospective Risk Adjustment Coding in St Louis MO
HCC codes must be re-reported every twelve months or health plan providers risk losing out on their reimbursements. Prospective risk adjustment coding in St Louis MO 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 St Louis MO
Retrospective risk adjustment coding in St Louis MO is also very important because it helps ensure coding accuracy and maximize 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