Risk Adjustment Coding in Whittier CA

HCC Coders can assist with risk adjustment coding in Whittier CA

The CMS Risk Adjustment Model was established to help predict heath care costs. In this model, thousands of ICD 10 diagnosis codes are used to classify patients into the appropriate HCC code categories, which are in turn used to determine reimbursements. Obviously, as a health plan provider you want to know that your risk adjustment coding in Whittier CA is being done correctly so you can secure the maximum reimbursements from Medicare Advantage. HCC Coders can help health plan providers by providing the staff needed to complete coding activities.

We Provide Prospective Risk Adjustment Coding in Whittier CA

If HCC codes for all patients are not re-reported annually, health plan providers risk 6-month revenue gaps in their reimbursements. Prospective risk adjustment coding in Whittier CA can help prevent revenue gaps due to missed re-reporting deadlines. 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 Whittier CA

HCC Coders also provides assistance with retrospective risk adjustment coding in Whittier CA. 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

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