A recent article in Neurology Today highlights the importance of accurate Medicare Risk Adjustment / Hierarchical Condition Categories (HCC) coding for physicians practices and RADV audit services for insurance companies offering Medicare Advantage (MA) plans....
Utilizing Natural Language Processing (NLP) based technology and big data analytics, the University of Pittsburgh Medical Center (UPMC) health plan has successfully processed millions of clinical documents to accurately identify risk adjustment or HCC coding...
Medicare adjusts payments to Medicare Advantage (MA) organizations for cost variations in providing health care to beneficiaries based on various risk factors, including health status. The goal of risk adjustment is to see that plans are properly reimbursed for the...
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...