01
HCC Risk Adjustment Coding
Documentation That Supports Accurate Coding.
Review clinical records, identify documented diagnoses, and support consistent HCC coding practices for risk adjustment programs.
HCC Coding
Capture documented diagnoses through prospective and retrospective HCC reviews, helping identify documentation gaps and support appropriate risk adjustment.
What’s included
- Prospective and retrospective HCC coding for applicable CMS-HCC and RxHCC models
- RAF gap analysis and member-level risk stratification
- RADV audit preparation and remediation support
- ICD-10-CM coding to the appropriate level of specificity
- Encounter data submission review and reconciliation





