Risk Adjustment Coding in Tampa FL

HCC Coders can assist with risk adjustment coding in Tampa FL

Risk adjustment coding is a vital part of the CMS Risk Adjustment Model, which utilizes thousands of ICD 10 diagnosis codes and 80 HCC codes to track and predict patient care needs and expenses. Obviously, as a health plan provider you want to know that your risk adjustment coding in Tampa FL 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 Tampa FL

If HCC codes for all patients are not re-reported annually, health plan providers risk 6-month revenue gaps in their reimbursements. At HCC Coders, we help make sure you meet your coding deadlines by providing prospective risk adjustment coding in Tampa FL. 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 Tampa FL

HCC Coders also provides assistance with retrospective risk adjustment coding in Tampa FL. This helps ensure coding accuracy and allows health plan providers to rest assured they are getting the right 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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