Pulmonary rehabilitation is a multidisciplinary program meant for patients with chronic respiratory conditions, especially for those with chronic obstructive pulmonary disease (COPD). Physicians generally refer patients with moderate to severe COPD to a rehab program...
One of the significant developments that have impacted Medicare Advantage (MA) plans during the past decade is HCC (Hierarchical Condition Categories) coding. Medicare has used the HCC coding model to calculate payments to health care providers and insurance plans...
Every physician knows the consequence of using a wrong diagnostic code – it will not only affect reimbursement, but more importantly, also jeopardize patient care. Medical coding outsourcing helps avoid risky coding practices. By entrusting the task to skilled and...
The Medicare risk adjusted payment model is one of the major changes that have impacted physician practice revenue since it was introduced. The Centers for Medicare & Medicaid Services (CMS) uses the HCC (Hierarchical Condition Category) risk stratification...
Medicare Risk Adjustment (MRA) is a payment methodology that is used to adjust Medicare health plan payments based on the health status and demographic characteristics of the beneficiary. For physicians, accurate MRA coding and documentation is necessary for...
