HCC Coders can assist with risk adjustment coding in Salt Lake City UT
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. Obviously, as a health plan provider you want to know that your risk adjustment coding in Salt Lake City UT 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 Salt Lake City UT
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 Salt Lake City UT. 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 Salt Lake City UT
HCC Coders also provides assistance with retrospective risk adjustment coding in Salt Lake City UT. This helps ensure coding accuracy and allows health plan providers to rest assured they are getting the right 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