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Today more than ever, the ongoing changes in reimbursement laws and regulations create challenges for healthcare providers and third party payers who must align the quality of services provided with documentation and coding reporting, to meet the expectations of reimbursement methodology plans.

HCC Management

HCC Management

Tailored Services To Your Specific Goals And Objectives

CODEMED Inc. is an organization of dedicated professionals experienced in the areas of clinical documentation, education, ICD-10-CM, CPT coding Classification Systems and reimbursement methodologies used by Medicare, Medicaid and private payers. Our knowledgeable, certified coding specialists and credentialed clinician staff has the expertise to serve all types of healthcare providers and healthcare plans with CMS-HCC Coding Risk Adjustment Management. 

 

Trust CODEMED’s experts to provide the knowledge and experience to ensure accurate reimbursement and sustain financial returns for all services provided under the CMS-HCC Risk Adjustment Medicare Advantage Plan. 

 

 

CODEMED will tailor our services to your specific goals and objectives for Coding and Risk Adjustment Data Validation to ensure that the patient medical records reflect an accurate picture of capturing patient acuity and risk of mortality for medical services provided which greatly influence the quality outcome of the patient care, premium payment levels and ultimately your reimbursement.

CODEMED can customize education for your staff on the importance of a complete and accurate coding and documentation by providing training on Clinical Documentation, Inpatient and Outpatient Official Coding Guidelines to ensure proper reporting and reimbursement on your Medicare Advantage Plan.

CODEMED's coding validation services can be done also remotely. Our remote coding servers use state of the art encryption technology for secure data transmission over the Internet. Our data center servers are stored in an SAS 70 audited facility with 24/7 secure access and server monitoring. Our servers perform daily backups of all health records and data. With power and data redundancy, our servers have a 99.99% guaranteed uptime.

If you enroll more complex patients you will receive higher premiums from CMS. HCC models are driven by thousands of ICD-10-CM. Achieve Accurate CMS-HCC Risk Adjustment reimbursement. CODEMED is your Partner. Call us to assist you!

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