HCC Coders can assist with risk adjustment coding in Kansas City MO
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 Kansas City MO 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 Kansas City MO
Without timely annual re-reporting of HCC coders, health plan providers will not receive their maximum reimbursements on time. At HCC Coders, we help make sure you meet your coding deadlines by providing prospective risk adjustment coding in Kansas City MO. 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 Kansas City MO
HCC Coders also provides assistance with retrospective risk adjustment coding in Kansas City MO. This helps ensure coding accuracy and allows health plan providers to rest assured they are getting the right 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