Risk Adjustment Coding in Dallas TX

HCC Coders can assist with risk adjustment coding in Dallas TX

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 Dallas TX in order to comply with CMS requirements and secure appropriate 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 Dallas TX

If HCC codes for all patients are not re-reported annually, health plan providers risk 6-month revenue gaps in their reimbursements. Prospective risk adjustment coding in Dallas TX can help prevent revenue gaps due to missed re-reporting deadlines. 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 Dallas TX

HCC Coders also provides assistance with retrospective risk adjustment coding in Dallas TX. This helps ensure coding accuracy and allows health plan providers to rest assured they are getting the right reimbursements. The following activities are included in our retrospective risk adjustment services:

  • 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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