Between June and December 2021, AAPC Services performed risk adjustment audits using the V24 Medicare Advantage model and dates of service from large physician health organizations and a large hospital system.
AAPC Services found an overall 80 percent of the ICD-10-CM diagnosis codes were reported accurately within the providers’ medical record documentation. The remaining 20 percent could lead to inaccuracies in RAF scores and lost revenue.
The AAPC + RCxRules Advanced Coding managed service can help shrink that 20 percent gap by acting as an HCC coding safety net. This unique approach means you only incur a cost when AAPC-Certified Risk Adjustment Coders deliver results--you only pay when an HCC code is added, deleted, or adjusted.