HCC Coders can assist with risk adjustment coding in Birmingham AL
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 Birmingham AL is being done correctly so you can secure the maximum reimbursements from Medicare Advantage. HCC Coders can help by providing the staff you need to complete all your coding activities.
We Provide Prospective Risk Adjustment Coding in Birmingham AL
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 Birmingham AL. 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 Birmingham AL
Audits and retrospective risk adjustment coding in Birmingham AL 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