Risk Adjustment Coding
At Genesys, we understand the critical role of Risk Adjustment Coding in ensuring that healthcare providers are fairly compensated for the care they deliver, especially in value-based care models like Medicare Advantage and Medicaid. Our expert team helps healthcare organizations accurately document patient diagnoses and conditions to optimize reimbursement and ensure compliance with government regulations
The Role of Our Risk Adjustment Coding Services
Comprehensive Chart Review
Detailed examination of patient medical records to ensure every diagnosis is accurately captured and coded.
ICD-10 Coding
Our certified medical coders are experts in using ICD-10 coding systems to assign the correct codes for diagnoses, procedures, and conditions.
HCC Mapping
We use HCC coding to ensure that all relevant conditions are documented and mapped correctly for the highest risk score possible.
Ongoing Education and Training
We keep your practice updated on the latest risk adjustment models and regulatory changes to ensure compliance and improve coding accuracy.
Claims Review & Audit
Our team audits claims to identify and address any discrepancies or inaccuracies in the coding process, ensuring a smooth reimbursement cycle.
Support with Audits
In case of an audit, we provide support by helping ensure that all documentation and coding meet the required standards.
Benefits
Partnering with Genesys for your risk adjustment coding brings numerous advantages
Enhanced Accuracy and Compliance
Our expert coders ensure the highest levels of accuracy, reducing the risk of errors and non-compliance.
Optimized Revenue
Accurate coding leads to proper risk assessment, ensuring that healthcare providers are reimbursed appropriately.
Reduced Administrative Burden
Our services streamline the coding process, allowing healthcare providers to focus more on patient care.
Data-Driven Insights
We provide valuable insights from data analysis, aiding in strategic decision-making for healthcare practices.
Customized, Flexible Solutions
Our approach is tailored to meet the specific needs of each client, ensuring the most effective outcomes.
Continuous Support
We offer ongoing support to meet with the latest coding standards and practices.