Risk Adjustment 

 Our certified coders submit claims mapped to over 70 HCC codes in the RA model.

As Risk Adjustment plans become more common, Global Healthcare Resource can manage these challenges. 

Only medical coders who have been trained in Hierarchical Condition Categories (HCC) coding can ensure timeliness and accuracy. Our team of professionals are proficient in the details of the latest payment methodologies, leaning on our accuracy and knowledge to code to the highest level of specificity. 

Every missed code is a potential care gap. 

We excel at optimizing risk adjustment scores by lowering cost and improving quality of care. Our trained and certified coders submit claims that are mapped to over 70 HCC codes in the RA model. Our coders and nurses work together, being proactive to engage patients who have care gaps to schedule appointments. Our specialists take initiative in reviewing records to capture missing diagnosis and record a thorough HCC code review. 

 What We Can Offer: 

  •  Retrospective services 
  • Concurrent Chart Review 
  • Data submissions 
  • RADV, HEDIS, or Medicare Advantage audit support