Risk Adjustment Coding in Omaha NE

HCC Coders can assist with risk adjustment coding in Omaha NE

The CMS Risk Adjustment Model utilizes thousands of ICD 10 codes to support patient categorization into dozens of HCC codes, all in the name of predicting health care expenditures and determining insurance reimbursements. Naturally, health plan providers need accurate risk adjustment coding in Omaha NE in order to comply with CMS requirements and secure appropriate reimbursements from Medicare Advantage. Health plan providers who want the best possible coding staff use HCC Coders to find their risk adjustment coders.

We Provide Prospective Risk Adjustment Coding in Omaha NE

If HCC codes for all patients are not re-reported annually, health plan providers risk 6-month revenue gaps in their reimbursements. Fortunately, such a scenario can be avoided with prospective risk adjustment coding in Omaha NE from HCC Coders. 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 Omaha NE

Audits and retrospective risk adjustment coding in Omaha NE 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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