HCC Coding

HCC coding or Hierarchical Condition Category coding is crucial as it is a key factor that decides the reimbursement benefits for a Medicare Advantage Plan that uses ICD diagnostic codes as the primary indicators of the member’s health status. Since 2004, Medicare has used the HCC model to calculate payments to providers and health plans. Accurate coding for Medicare Advantage (MA) plans ensures clean claims for physician practices. Outsource Strategies International (OSI) is a leading provider of HCC Risk Adjustment Coding Services that help busy practitioners receive higher Return on Investment. With more than a decade’s experience in the medical billing industry, we provide complete risk assessment and submit error-free claims while you focus on providing quality patient care.

Up-to-date with the latest coding requirements, we are ICD-10 ready. Our pricing is competitive and you save 30% to 40% on costs.

Call us toll free at 1-800-670-2809 for a Free Solutions Consultation.

Comprehensive HCC Risk Adjustment Coding

Hierarchical Condition Category (HCC) is a category of medical conditions that map to a corresponding group of ICD-9 / ICD-10 diagnosis codes. Our skilled coders can assign accurate medical codes to document care and diagnosis in the Chart/Progress notes and clinical findings.

Our HCC code determination relies on the five sources of diagnostic coding accepted by CMS such as – principal hospital inpatient, secondary hospital inpatient, hospital outpatient, physician, and clinically trained non-physician. Our professional team also performs mock audits to identify issues such as over coding and under coding. Our comprehensive coding solutions include:

• Focused chart review
• HCC validation through RADV audit
• Chart audit summary reports
• Report of missing/embedded/suspect codes

Our medical coders are trained in working with popular coding software such as Allscripts, NextGen, Practice Fusion, eClinicWorks and many more. They can report HCC diagnosis to the highest level of specificity.

Why Choose OSI for HCC Coding

• Comprehensive record retrieval
• Skilled QA team
• Multilevel quality assurance
• HIPAA compliant services
• Stringent security policies
• Customized turnaround time
• No long term yearly contracts

Contact us at 1-800-670-2809 to get started with your Free Trial for our HCC coding services.