HCC Coders can assist with risk adjustment coding in Anaheim CA
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. It is very important for health plan providers to ensure that they are conducting accurate and timely risk adjustment coding in Anaheim CA so that they can meet CMS requirements and receive their reimbursements for care provided to Medicare Advantage enrollees. 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 Anaheim CA
Without timely annual re-reporting of HCC coders, health plan providers will not receive their maximum reimbursements on time. At HCC Coders, we help make sure you meet your coding deadlines by providing prospective risk adjustment coding in Anaheim CA. Prospective coding activities include pre-coding annual visit forms for existing plan enrollees. By working ahead in this way, health plan providers can avoid feeling so much pressure around annual coding deadlines. Prospective coding also helps improve accuracy by identifying missing codes early.
We Perform Retrospective Risk Adjustment Coding in Anaheim CA
HCC Coders also provides assistance with retrospective risk adjustment coding in Anaheim CA. This helps ensure coding accuracy and allows health plan providers to rest assured they are getting the right 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