Risk Adjustment is a fresh problem for revenue maximization, one more place to concentrate precious resources to verify that reimbursement is appropriate for every aspect of patient care. The CMS payment model requires additional steps of diagnosis and treatment documentation for those patients with serious or chronic illnesses. We can provide coding, CDI and auditing experts to accurately approach your HCC Coding and Risk Adjustment to make sure these additional steps are completed and to ensure you are receiving optimum reimbursement. Adding Clinical Validation Reviews to your Risk Adjustment efforts can identify unreported conditions or conditions not specified to meet Risk Adjustment (HCC) criteria are captured by our clinical documentation integrity auditors.
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