Risk Adjustment HCC Coding Services

Benefits of Outsourcing Risk Adjustment HCC Coding

1. Increased revenue for healthcare providers: 
Identifying and documenting the risk profile of their patient population accurately helps in increasing revenue. But this complex process requires specific knowledge and experience in the field. An outsourcing provider can ease this task by implementing the best practices and experience in handling various risk profiles.

Healthcare providers can significantly increase their revenue by outsourcing risk adjustment HCC coding services to a third-party provider like Invensis. Our team of experts has the knowledge and expertise to identify and document all relevant medical conditions accurately and thoroughly.‍

2. Improved accuracy of risk scores: 
Without accurate coding and documentation, the risk scores may not reflect the true risk of the patient population, leading to inaccurate resource allocation and reimbursement. Outsourcing the services to a third-party provider like Invensis can help improve risk score accuracy.

Invensis has a team of certified coders with extensive experience identifying and documenting chronic conditions and other factors impacting risk scores. Our risk adjustment hierarchical condition category coding services help healthcare providers predict costs better and allocate resources, improving patient outcomes and overall financial performance.‍

3. Better patient care: 
Risk adjustment is a critical component of healthcare that helps providers accurately identify and manage patient risk factors. HCC coding services are vital in ensuring patient data is accurately captured and translated into appropriate risk scores.

Invensis’ risk adjustment coding services help identify high-risk patients, which assist healthcare specialists in providing them with the care they need to manage chronic conditions and prevent future complications. This can lead to better health outcomes and higher patient satisfaction. 

4. More efficient use of resources: 
Ensuring accurate and timely coding of medical conditions helps healthcare providers achieve more efficient use of resources. It helps providers to identify and manage high-risk patients more effectively, resulting in better outcomes and lower costs. But it is complex when managing in-house.

At Invensis, our certified coders are well-versed in the latest risk adjustment methodologies and can help healthcare providers optimize their coding processes. By outsourcing risk adjustment HCC coding services to us, providers can free up internal resources and focus on providing high-quality patient care.

Trends in Risk Adjustment HCC Coding

1. Focus on Social Determinants of Health (SDOH):
   SDOH, such as income, education, and access to healthcare, significantly impact patient health outcomes. There is a growing trend towards incorporating SDOH data into HCC coding to capture the complexity of patient health status better and improve risk adjustment accuracy. We know the importance of this trend and focus on it effectively to reduce the risks.‍
2. Emphasis on data analytics: 
   With the increasing amount of data available in healthcare, there is a growing emphasis on data analytics for risk adjustment HCC coding services. This includes using predictive modeling to identify patients at higher risk of developing certain medical conditions and analyzing data to detect patterns and trends in healthcare utilization. At Invensis, we implement data analytics to analyze the collected data and make timely decisions.‍
3. Increased collaboration between providers and payers: 
   Providers and payers are increasingly collaborating to improve HCC coding accuracy and efficiency. This includes sharing data and best practices and working together to identify and address coding discrepancies. Invensis’ hierarchical condition category coding services help collaboration between payers and providers, avoiding denials and delays due to coding errors.