Risk Adjustment Coding in Indianapolis IN

HCC Coders can assist with risk adjustment coding in Indianapolis IN

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 Indianapolis IN in order to comply with CMS requirements and secure appropriate reimbursements from Medicare Advantage. By providing the staff needed to complete risk adjustment coding, HCC Coders helps health plan providers comply with their coding obligations.

We Provide Prospective Risk Adjustment Coding in Indianapolis IN

If HCC codes for all patients are not re-reported annually, health plan providers risk 6-month revenue gaps in their reimbursements. At HCC Coders, we help make sure you meet your coding deadlines by providing prospective risk adjustment coding in Indianapolis IN. 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 Indianapolis IN

Audits and retrospective risk adjustment coding in Indianapolis IN help ensure that coding has been done correctly so that health plan providers can receive the maximum possible 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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