HCC Coders can assist with risk adjustment coding in New York NY
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 New York NY 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 New York NY
Without timely annual re-reporting of HCC codes, health plan providers will not receive their maximum reimbursements on time. Prospective risk adjustment coding in New York NY can help prevent revenue gaps due to missed re-reporting deadlines. By working ahead on prospective annual visit forms, we enhance accuracy and efficiency by identifying potential coding problems or missed HCC codes before they get submitted.
We Perform Retrospective Risk Adjustment Coding in New York NY
Audits and retrospective risk adjustment coding in New York NY help ensure that coding has been done correctly so that health plan providers can receive the maximum possible 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