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Scalable HCC Coding Solutions with Improved RAF Scores– Powered by experience, certification, and technology

Consistent, cost-effective, accurate, and scalable HCC (Hierarchical Condition Category) Coding Services

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Plutus Health Is A One-stop Personalized solution For All ASC Billing, Coding, And RCM Needs

AAPC-Certified

AAPC certified ASC coders

Denial and AR Management Services

Specialized denial and A/R management services

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One-click support 24/7* 365 days

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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 your practice. 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.

1

Validation of medical record eligibility

Plutus Health uses automation to check eligibility before providers start offering their services to patients.

2

Assignment of appropriate ICD-10-CM codes

A team of certified medical coders abstract all HCC conditions from the medical records as per  MEAT or TAMPER records.

3

Submission of ICD-10-CM codes to CMS or HHS for reporting (Timely report on HCC)

Precisely added codes are verified along with the required documents and submitted by experienced professionals.

3

AI-Based Workflow (AI-induced ICD abstraction)

Use RPA to precisely extract all HCC conditions from medical records to increase accuracy and reliability.

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

calpion mission

Medical record retrieval

Medical record retrieval of the healthcare providers is above 90%

calpion mission

Coding accuracy

Coding accuracy for healthcare providers reached an all-time high

calpion mission

RAF (Risk Adjustment Factor)

Improved RAF score performance to predict accurate patient expenditure

calpion mission

In time delivery

Effective project delivery timelines to meet timely submission of HCC

calpion mission

Scalability

Use of automation to provide highly scalable solutions due to improved automation

calpion mission

Submission

Subject matter experts submit risk adjustment solutions with >98% acceptance

HCC coding services offered by Plutus Health

Plutus Health has a team of certified coders with a depth understanding of 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.

  • AAPC-certified (CRC-certified) coders in-depth chart reviews and compliance audits
  • Thoroughly abstract medical records for all HCC condition
  • Identify missing diagnoses or potential errors in medical records
  • Keep coding standards wholly aligned with industry standards

Are you looking for professional HCC coding services? 

Benefit from Plutus Health’s MRRV audit and HCC coding services today

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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 healthcare practices in providing accurate HCC codes. Here are the reasons to work with Plutus Health:

  • Improved RAF Score
  • HIPPA compliant organization that provides top-notch data security
  • Use of the latest AI technologies and tools to offer quality services
  • Efficient process and use of best methodologies for optimum results
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Outsource HCC Risk Adjustment Coding Services to Plutus Health

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