Risk Adjustment Coding in Olympia WA

HCC Coders can assist with risk adjustment coding in Olympia WA

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. It is very important for health plan providers to ensure that they are conducting accurate and timely risk adjustment coding in Olympia WA so that they can meet CMS requirements and receive their reimbursements for care provided to Medicare Advantage enrollees. HCC Coders can help health plan providers by providing the staff needed to complete coding activities.

We Provide Prospective Risk Adjustment Coding in Olympia WA

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 Olympia WA. 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 Olympia WA

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

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