The Most Important Things to Look for in HCC Coding & Risk Adjustment Technology

 

HCC Coding and risk adjustment paperwork are significant daily chores for your physician and coding teams, but they don't appear to be getting any simpler as Medicare Advantage enrollment rises. Because of this, a lot more healthcare providers are thinking about working with a technology tool provider who can help automate risk adjustment documentation and HCC coding.

We spell out a few of the reasons why it is crucial and some of the top primary factors RISE has identified for this year in case you are one of the numerous healthcare businesses thinking about hiring a technology supplier.

Why Say Yes to a Technology Provider

Your team will be able to prepare more material in advance of important submission dates for Medicare Advantage (MA) and Affordable Care Act (ACA) risk adjustment programs if you use an HCC coding tool to automate the process of reviewing all evidence.

Another crucial factor to take into account is that risk adjustment technology can assist your coders and providers in identifying HCC codes that must be submitted to raise patient RAF scores. Patient RAF scores should be raised to optimize revenue from MA contracts. Healthcare providers must be able to get paid what they are due for their excellent services in these hard times.

Improving patient care – having all diagnoses correctly documented will help avoid gaps in care and having a tool to automate documentation will help your providers do what they do best – care for their patients without having to spend extra time on documentation.

The Top 3 Criteria for Choosing a Technology Provider (by RISE):

  1. Product mix: Verify that the vendor has a range of goods that can enable your risk adjustment team to address the appropriate needs.
  2. Product maturity: Know the vendor's full range of capabilities with their offerings, the length of time they have been available on the market, and whether or not they have credible references.
  3. Product roadmap: It's crucial to take into account the technology vendor's long-term objectives. How can they continue to help your business? Exist any upcoming features that your team will find useful?

By Inferscience, HCC Assistant

The HCC coding tool from Inferscience aids in optimizing risk adjustment documents and HCC coding. A platform for intelligent HCC billing and coding that is cloud-based and integrated with the top EHRs is called HCC Assistant. The software analyses structured and unstructured data in the patient chart using standardized vocabulary and powerful Natural Language Processing (NLP). The HCC Assistant can identify diagnoses that may have been missed and present possibilities to update the documentation in real-time thanks to its sophisticated intelligence criteria. A single click can be used to submit HCC ICD-10 codes and the related plan of care documentation back into the patient chart where write-back integration is supported.

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