HCC Coders can assist with risk adjustment coding in Houston TX
The CMS Risk Adjustment Model was established to help predict heath care costs. In this model, thousands of ICD 10 diagnosis codes are used to classify patients into the appropriate HCC code categories, which are in turn used to determine reimbursements. Naturally, health plan providers need accurate risk adjustment coding in Houston TX 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 Houston TX
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 Houston TX from HCC Coders. 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 Houston TX
Retrospective risk adjustment coding in Houston TX 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