Medicare risk adjustment (HCC) and HEDIS coding and audits
Medicare risk adjustment validation preparedness
Clinical validation (RADV) audit preparedness
Verify and ensure the accuracy, completeness, specificity and appropriate coding based on CMS HCC categories.
Ensure compliance with centers for medicare & medicaid services (CMS) guidelines
Provider and office staff education on CMS risk adjustment coding, billing, pay for performance measurements and medical record review criteria.