Risk Adjustment Coding in Denver CO

HCC Coders can assist with risk adjustment coding in Denver CO

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. It is very important for health plan providers to ensure that they are conducting accurate and timely risk adjustment coding in Denver CO so that they can meet CMS requirements and receive their reimbursements for care provided to Medicare Advantage enrollees. HCC Coders can help health plan providers by providing the staff needed to complete coding activities.

We Provide Prospective Risk Adjustment Coding in Denver CO

If HCC codes for all patients are not re-reported annually, health plan providers risk 6-month revenue gaps in their reimbursements. Fortunately, such a scenario can be avoided with prospective risk adjustment coding in Denver CO from HCC Coders. 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 Denver CO

Audits and retrospective risk adjustment coding in Denver CO 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

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