Risk Adjustment Coding in San Bernardino CA

HCC Coders can assist with risk adjustment coding in San Bernardino CA

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 San Bernardino CA 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 San Bernardino CA

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 San Bernardino CA. 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 San Bernardino CA

Retrospective risk adjustment coding in San Bernardino CA is also very important because it helps ensure coding accuracy and maximize 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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