Ensure Accurate Documentation and Financial Predictability with Medicare Risk Adjustment Coding Services
In health insurance, risk adjustment is like a tool that helps account for everyone’s health and expected medical costs in a plan. It’s crucial for doctors to accurately document diagnoses to make this tool work well. CMS’ Medicare Advantage program heavily depends on risk adjustment to make sure it can predict and budget payments properly. This helps provide benefits to all those enrolled in the program. Reliable Medicare risk adjustment coding services are crucial to keep offering good benefits and continue improving healthcare.
Outsource Strategies International (OSI) provides error–free Medicare risk adjustment coding (MRA) services for healthcare providers. We provide complete medical record documentation and accurate diagnostic coding that will help you obtain timely reimbursement and ensure quality care for patients.
Choose our Medicare risk adjustment coding services for accurate documentation and improved benefits!
Why Consider Professional Risk Adjustment Coding Services?
Considering Medicare risk adjustment coding services is a strategic investment that ensures financial stability and regulatory compliance, and enhances the overall quality and efficiency of healthcare services provided to Medicare Advantage beneficiaries. Reliable services are essential for several compelling reasons:
- Optimized reimbursements
- Financial stability
- Enrollee benefit enhancement
- Compliance with regulations
- Precision in documentation
- Quality healthcare outcomes
- Competitive advantage
- Efficient resource allocation
Comprehensive MRA Coding Services
Payment model for Medical Risk Adjustment relies on CMS-HCC (Hierarchical Condition Category) codes that are derived from the ICD diagnostic codes. With sound knowledge in the latest coding trends and updates, our AAPC-certified medical coders report the correct HCC (Hierarchical Condition Categories) codes that CMS requires.
HCC codes are determined based on the five sources accepted by CMS, such as:
- Principal
- Secondary hospital inpatient
- Hospital outpatient
- Physician
- Clinically trained non-physician
Our coders ensure accurate MRA coding and also identify any missing information in patient records that may not pass a CMS audit. Adhering to HIPAA guidelines, we ensure security and confidentiality for all your medical records and data.
Our MRA/HCC Coding Process
The MRA/HCC coding process involves several essential steps to accurately assess and document the risk profile of Medicare Advantage beneficiaries.
Our MRA/HCC Coding Process
The MRA/HCC coding process involves several essential steps to accurately assess and document the risk profile of Medicare Advantage beneficiaries.
Why Choose OSI?
Enhanced productivity and increased revenue
Scalable technology
Inpatient / outpatient coding
Reliable accounts manager for each client
Customized services
Fast and customized turnaround time
Professional coding process
Detailed audit trail
Affordable & Flexible Pricing Plans
Fixed Cost Pricing
Like an FTE model, a person is dedicated to your practice. Perfect for a practice that is busy. They work as an extension to your business.
- A dedicated employee or team member
- Team handling multiple responsibilities
- Preset pricing and production guidelines
- No Start-up fees
Per Verification Pricing
Perfect for a practice that is unsure about their work requirements. This can have per request pricing for eligibility verifications and other functions.
- Dedicated team or employee
- Team handling multiple responsibilities
- A per transaction or hybrid model
- No Start-up fees