HCC Coders can assist with risk adjustment coding in Boise ID
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. Obviously, as a health plan provider you want to know that your risk adjustment coding in Boise ID is being done correctly so you can secure the maximum reimbursements from Medicare Advantage. Health plan providers can turn to HCC Coders for support in carrying out vital coding activities.
We Provide Prospective Risk Adjustment Coding in Boise ID
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 Boise ID. 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 Boise ID
Audits and retrospective risk adjustment coding in Boise ID 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