HCC Coders can assist with risk adjustment coding in Columbus OH
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. Naturally, health plan providers need accurate risk adjustment coding in Columbus OH in order to comply with CMS requirements and secure appropriate reimbursements from Medicare Advantage. Health plan providers who want the best possible coding staff use HCC Coders to find their risk adjustment coders.
We Provide Prospective Risk Adjustment Coding in Columbus OH
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 Columbus OH. 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 Columbus OH
Audits and retrospective risk adjustment coding in Columbus OH help ensure that coding has been done correctly so that health plan providers can receive the maximum possible 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