Risk Adjustment Coding in Chicago IL

HCC Coders can assist with risk adjustment coding in Chicago IL

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. Naturally, health plan providers need accurate risk adjustment coding in Chicago IL in order to comply with CMS requirements and secure appropriate 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 Chicago IL

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 Chicago IL. 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 Chicago IL

Retrospective risk adjustment coding in Chicago IL 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

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