Improve HCC Capture with HCC Coding Smart Rules

3 Smart Rules that Offer Significant Opportunity to Improve HCC Coding Capture


Data shows providers often have robust documentation but lack in risk adjustment coding accuracy. A concurrent review process, when done by experienced coders, yields opportunities to improve HCC coding capture. HCC coding Smart Rules identify those scenarios where a provider’s documentation may be more robust than the coding reflects and provide an opportunity to improve HCC capture while ensuring compliance with established coding guidelines.

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