Get the Real-time Guidance to Improve HCC Coding and Risk Adjustment - Inferscience

 



Inferscience offers real-time guidance to improve HCC Coding and Risk Adjustment services in Newton. Healthcare organizations must be able to forecast future healthcare financial resources and predict appropriate remuneration for physicians as the number of Medicare Advantage plan enrollees rises. The HCC risk adjustment model is used to predict anticipated costs for Medicare Advantage beneficiaries by CMS, and the results have a direct impact on the compensation healthcare organizations get. As value-based payment models gain traction, the HCC risk adjustment approach is becoming more widely used.

Benefits:

  • Time savings You no longer have to spend countless hours analyzing retrieved patient charts to identify source encounter notes for reported diagnosis codes, the system does it for you.
  • Accuracy in your documentation by auditing whether encounter notes have the required elements to support HCC codes based upon your guidelines
  • Helps you confirm the integrity of your HCC submissions
  • Coding specificity Provides enough information to back up your codes with more specific information.
  • Helps you ensure that the health status submitted by the plan is supported by health record documentation and meets reporting guidelines
  • Helps you ensure their documentation complies with HCC reporting requirements and demonstrates that conditions are evaluated, monitored, assessed, or treated during face-to-face encounters.
Visit our website for more information about our HCC coding & HCC risk adjustment services.


Comments

Post a Comment

Popular posts from this blog

Improve Risk Adjustment Coding - Inferscience

Image
  Risk Adjustment Coding  HCC Assistant from Inferscience is an EHR-integrated " HCC risk adjustment coding " tool that parses the patient chart in real-time and suggests all HCC diagnoses. The complex intelligent rules built into the Assistant allow it to find diagnoses that may have been overlooked and represent opportunities to improve the documentation in real-time. Sign up for a demo now!
Read more

Advanced HCC Billing and Coding Tool For Healthcare Providers

Image
  During the covid medicare, providers are founding, it hard to maintain a good procedure in the organization further, leading to improper documentation. By Seeing all this, we at Inferscience led to the development of the HCC billing and coding application(HCC Assistant) that helps providers to optimize HCC coding and risk adjustment documentation. This application utilizes advanced Natural Language Processing(NLP) to analyze unstructured data to analyze structured data in the patient chart. The complex and intelligent rules built into the HCC billing and coding application allow it to find diagnoses that may have been overlooked and represent opportunities to improve the documentation in real time.
Read more

Reducing Audit Risk with M.E.A.T. Criteria: Valuable Insights and Latest Technology

Image
How often do you monitor and audit the accuracy of your HCC Coding? In past blog posts, we’ve talked about the importance of HCC Coding & accurate risk adjustment documentation. In today’s blog, we will provide you with valuable information about how to take your HCC coding & risk adjustment to the next level with M.E.A.T. criteria auditing. As a provider, you understand the importance of HCC Coding. You probably spend a good amount of time making sure you add the correct HCC codes to your documentation, and staying up to date with adequate supporting documentation for HCC codes – all this to decrease your risk of lower payments, audits, and financial penalties. To document accurately, and make this process easier, healthcare organizations use M.E.A.T. criteria standards. Following M.E.A.T. criteria standards ensures healthcare provider organizations, coding companies, practice management consultants, and revenue cycle companies regularly monitor and audit for correct HCC codin...
Read more