Risk Adjustment Coding in Tacoma WA

HCC Coders can assist with risk adjustment coding in Tacoma WA

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. It is very important for health plan providers to ensure that they are conducting accurate and timely risk adjustment coding in Tacoma WA so that they can meet CMS requirements and receive their reimbursements for care provided to Medicare Advantage enrollees. Health plan providers can turn to HCC Coders for support in carrying out vital coding activities.

We Provide Prospective Risk Adjustment Coding in Tacoma 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 Tacoma WA. 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 Tacoma WA

Audits and retrospective risk adjustment coding in Tacoma WA 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

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