Scalable HCC Coding Solutions with Improved RAF Scores– Powered by experience, certification, and technology
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Steps Plutus Health follows in capturing and reporting HCCs:
Plutus Health is reliable and experienced risk adjustment HCC coding partner for healthcare plans. We enter accurate patient demographic factors and do precise HCC coding that is crucial in deciding RAF (risk adjustment factor) assigned by insurance payers. We use ICD-10 coding to assign risk scores to the patients.
Validation of medical record eligibility
Plutus Health uses automation to check eligibility before providers start offering their services to patients.
Assignment of appropriate ICD-10-CM codes
A team of certified medical coders assign appropriate codes and thoroughly verify previously assigned codes.
Submission of ICD-10-CM codes to CMS or HHS for reporting
Precisely added codes are verified along with the required documents and submitted by experienced professionals.
AI-Based Workflow (AI-induced ICD abstraction)
Use RPA to precisely extract all HCC conditions from medical records to increase accuracy and reliability.
Plutus Health entirely concentrates on outcomes
Medical record retrieval
RAF (Risk Adjustment Factor)
Ontime delivery
Scalability
Submission
HCC risk adjustment coding services offered by Plutus Health
Plutus Health has a team of certified coders with a depth understanding of HCC risk adjustment coding standards as per the Center for Medicare and Medicaid Services (CMS), which abstracts all diagnoses related to Hierarchical Conditional Category (HCC) codes required for submission that meets MEAT or TAMPER criteria with AI-supported workflow. Risk Adjustment Documentation and Coding Practices.
Outsource HCC Risk Adjustment Coding Services to Plutus Health
Plutus Health’s experts know all the risk adjustment tools and precisely use them when required. We provide end-to-end risk adjustment services using cutting-edge technologies like AI, ML, RPA, and the cloud. Here is what Plutus Health’s risk adjustment coders do:
- Identify patients with undocumented conditions
- Know all the regulatory environment changes and works accordingly
- Provide accurate solutions to prevent government audits
- Ensure consistent and timely revenue
A leading HCC coding service provider assists health plans with accurate HCC codes. Here are the reasons to work with Plutus Health:
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Outsource HCC Risk Adjustment Coding Services to Plutus Health
Our happy clients
We love the services Plutus Health offers; We get benefits from them every day. We love the accessibility to a broad range of resources is a real asset. We prefer Plutus Health's risk adjustment coding services over any other company. Their services are excellent.
