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HCC Coding Services

Hierarchical Condition Category (HCC) coding is crucial in healthcare, serving as a risk-adjustment model to estimate future healthcare costs. Medical Billing Wholesalers uses ICD-10 coding to assign risk scores to patients, incorporating demographic elements for accurate healthcare cost predictions.

Medical Billing Wholesalers’s Expertise in HCC Coding

For HCC coding services, Medical Billing Wholesalers boasts a seasoned team of AAPC and AHIMA certified coders. Our services, modeled on deep global delivery practices, ensure comprehensive and precise coding solutions. We specialize in retrospective chart audit services that identify miscoded, un-coded, and under-coded charts, addressing gaps in clinical documentation. Our efforts focus on maximizing the return on investment for health plans and defining effective risk adjustment programs.

Our Comprehensive HCC Coding Services Portfolio includes

• Medical Chart Review and Audits

  • We offer thorough medical chart review audits, retrospective chart reviews, RADV & Validation Audits, and RADV Audit services.

  • Our AAPC certified coders perform compliance audits and in-depth chart reviews, evaluating medical records across various settings.

  • We adhere strictly to official coding rules and CMS guidelines for risk adjustment reporting.

• Innovative Approach and Continuous Improvement.

  • We investigate medical records to identify potential errors or missing diagnoses, ensuring accurate assignment of HCC values.

  • Our audit system is designed to maintain coding standards at par with the industry’s best.

  • We constantly enhance the skills of our coders through continuous training programs, focusing on Part C (HCC) Coding, including RADV-focused yearly capture and encounter-based coding.

  • We excel in suspect reporting, deducing diagnoses from clinical cues, and have audited over 500K charts in 2018 alone.

At Medical Billing Wholesalers, we are dedicated to revolutionizing patient care through expert HCC coding. We empower healthcare providers with accurate data for smarter healthcare decisions, optimizing healthcare reimbursement processes and enhancing operational efficiency.