Risk Adjustment Coding

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Risk Adjustment (HCC) Coding

We offer risk adjustment coding which required highly skilled coding professionals to work together to capture the health status of their patient membership.

We are expertise in different types of risk adjustment models that are used to risk-adjust healthcare data such as HCC, HHS, CDPS, FCC etc…

Risk Adjustment Coding is a crucial component of the healthcare reimbursement process, as it helps to accurately reflect the health status of a patient population. This process involves assigning codes to patient diagnoses and conditions, allowing healthcare providers to receive appropriate reimbursement for the care they provide.
We have a team of highly trained and experienced risk adjustment coders who understand the complex regulations and requirements of the process. Our coders use their extensive knowledge and the latest technology to ensure that every patient’s diagnoses are accurately and thoroughly coded.

Our Risk Adjustment Coding services can help you

We understand that the Risk Adjustment Coding process can be complex and time-consuming, which is why we offer a streamlined, efficient service. Our coders work closely with healthcare providers to ensure a smooth and seamless process while providing regular progress reports and open communication.
We are committed to delivering the highest quality Risk Adjustment Coding services to our clients. Contact us today to learn more about how we can help you. We have a team of highly trained and experienced risk adjustment coders who understand the complex regulations and requirements of the process. Our coders use their extensive knowledge and the latest technology to ensure that every patient’s diagnoses are accurately and thoroughly coded.

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HCC (Hierarchical Condition Categories) coding is used to capture the severity of chronic conditions in risk-adjusted payment models. It impacts revenue and quality scores in value-based contracts.

Our coders specialize in identifying undocumented or underreported conditions based on provider documentation, improving RAF scores and ensuring compliance.

Yes, we offer both concurrent and retrospective HCC coding audits to identify gaps and capture complete patient risk profiles.

Absolutely. Our workflows are designed to align with EHRs and promote real-time query management and documentation improvement.

It leads to more accurate risk scores, which result in higher reimbursement in Medicare Advantage and ACA plans.

Yes, our coders carry certifications such as CRC, CPC, and CCS-P with specialization in risk models and guidelines.

FAQ

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Have questions about our services or how we work? We’ve compiled answers to the most common queries to help you better understand what Bannu Spy Health offers and how we can support your healthcare organization. Whether you’re new to medical coding and RCM or looking to switch providers, our FAQs are here to guide you.

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Our Services

Medical Coding Services

Accurate. Compliant. Certified.
We provide precise medical coding solutions by certified professionals to ensure clean claim submission and faster reimbursements.

We offer risk adjustment coding services for both Payers and Providers. By provider risk adjustment coding we contribute on

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We providing complete full service, end-to-end coding and billing for ED visits. In addition to offering a complete ED revenue cycle management solution, we also

We offer targeted and effective HEDIS coding services that support healthcare plans in achieving excellence in quality reporting. Developed by the (NCQA)

We recognize that every denied claim tells a different story—and resolving it demands more than just routine follow-up. Our approach to (A/R) and Denial Management

We providing highly trained & efficient team for pathology coding services, By utilising Current Procedural Terminology (CPT) codes to describe medical procedures,

We provides expert radiology coding services for our clients with fully knowledge in relevant CPT codes for radiology procedures, such as X-rays

We coding service affords our clients access to specialty-driven coding experts. A designated project manager will serve as your primary point of contact

RCM Services

Streamline Your Billing. Maximize Revenue.
From patient registration to final payment, our end-to-end RCM services help healthcare providers boost cash flow and reduce denials.

Eligibility and Insurance Verification services stand as linchpins in ensuring the

Effective Patient Scheduling is not just about managing Patient Appointments. Effective capture

The primary reason for claim denials is because a patient is not eligible for services billed to the insurer by the provider.

In the realm of effective medical billing, administrators often highlight coding and clinical documentation

Healthcare organizations often grapple with administrative stress caused by outstanding claims and

As the foundation of any healthcare insurance claims, patient’s demographic entry is very important

The process of claims submission involves parsing of claims information from the RCM

Denial management services serve as an indispensable pillar in upholding the

We provide comprehensive patient statement services. We generate patient

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