Wondering how to consistently achieve superior results under value-based and Medicare Advantage programs?
In our work with healthcare groups across the country, we discovered that the highest performing teams all follow nine specific HCC coding and risk adjustment practices. We knew immediately that this was information every healthcare group in the value-based world needs to know about.
That’s why we created our new Best Practices Guide to HCC Coding, which we’re offering as a free download. Here’s what you’ll learn about the nine practices in this short, easy-to-read eBook:
1. To increase RAF score accuracy, start with HCC coding:
Why accurately capturing and recapturing HCC codes is essential to achieving sustainable success under value-based contracts.
2. Leverage your current EMR/RCM workflows:
The importance of building a value-based claims review process that works in parallel with your existing fee-for-service process (it’s easier than you think!).
3. Educate providers on HCC coding’s impact on reimbursement:
Three ways to get your physicians to create EMR documentation that fully supports the HCC coding that’s essential to getting paid under value-based contracts.
4. Prepare for each patient visit:
The best way to prepare for incoming patients with complex or chronic conditions—so clinicians can provide better care and coders can capture HCCs at higher levels of specificity.
5. Employ—and value—HCC coding experts:
Why hiring at least one certified risk-adjustment coder (CRC) is the most reliable and cost-effective way to ensure risk adjustment success—and the real-world difference adding a single HCC coder made in just one month.
6. Implement real-time HCC reporting:
How top-performing organizations optimize financial performance under value-based contracts by delivering real-time insights and reports to their doctors.
7. Don’t rely on retrospective HCC coding reviews:
Two better types of review processes that can help eliminate the need for costly, time-consuming post-claim reviews—while increasing risk-score accuracy and team productivity.
8. Use HCC coding automation technology:
The most cost-effective way to maximize your HCC coder’s efficiency and productivity now—and scale up as your value-based volume increases.
9. Remember that value-based care is a team sport:
Suggestions for improving communications and getting your entire team—from your clinicians to your financial staff—working together to enhance patient care, improve RAF scores, and ensure appropriate compensation from payers.
