Project Management for Risk Adjustment Coding Review – Part 1

Risk Adjustment coding reviews can take many different shapes and forms.  When starting a new project/review, there are many things to consider.  A “Project Management” approach is key to success.  Project Management includes four phases:  Project Planning Phase;...

The Risk Adjustment Program – HCC Coding

Hierarchal Condition Category (HCC) coding plays an increasingly important role in today’s ever-changing world of insurance benefits and reimbursement.  With the creation of the Affordable Care Act (ACA), HCC code capture is no longer only for  Medicare Advantage...