Risk Adjustment Coding in Detroit MI

HCC Coders can assist with risk adjustment coding in Detroit MI

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. Obviously, as a health plan provider you want to know that your risk adjustment coding in Detroit MI 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 Detroit MI

HCC codes must be re-reported every twelve months or health plan providers risk losing out on their reimbursements. Fortunately, such a scenario can be avoided with prospective risk adjustment coding in Detroit MI from HCC Coders. Prospective coding activities include pre-coding annual visit forms for existing plan enrollees. By working ahead in this way, health plan providers can avoid feeling so much pressure around annual coding deadlines. Prospective coding also helps improve accuracy by identifying missing codes early.

We Perform Retrospective Risk Adjustment Coding in Detroit MI

HCC Coders also provides assistance with retrospective risk adjustment coding in Detroit MI. This helps ensure coding accuracy and allows health plan providers to rest assured they are getting the right 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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