HCC Coders can assist with risk adjustment coding in Jacksonville FL
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. Obviously, as a health plan provider you want to know that your risk adjustment coding in Jacksonville FL is being done correctly so you can secure the maximum 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 Jacksonville FL
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 Jacksonville FL. 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 Jacksonville FL
Audits and retrospective risk adjustment coding in Jacksonville FL 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