Risk Adjustment Coding in Tucson AZ

HCC Coders can assist with risk adjustment coding in Tucson AZ

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. It is very important for health plan providers to ensure that they are conducting accurate and timely risk adjustment coding in Tucson AZ so that they can meet CMS requirements and receive their reimbursements for care provided to Medicare Advantage enrollees. 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 Tucson AZ

Without timely annual re-reporting of HCC coders, health plan providers will not receive their maximum reimbursements on time. Prospective risk adjustment coding in Tucson AZ can help prevent revenue gaps due to missed re-reporting deadlines. Prospective coding activities include pre-coding annual visit forms for existing plan enrollees. By working ahead in this way, health plan providers can avoid feeling so much pressure around annual coding deadlines. Prospective coding also helps improve accuracy by identifying missing codes early.

We Perform Retrospective Risk Adjustment Coding in Tucson AZ

HCC Coders also provides assistance with retrospective risk adjustment coding in Tucson AZ. 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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