Aegis is a prominent supplier of HCC coding services on a global scale, with a pool of experienced coders, since 2006. Accurate coding for Medicare Advantage (MA) programs ensures that medical practices get clean claims. We provide thorough risk assessments and submit error-free claims with over a decade of expertise in the medical billing sector, allowing you to focus on providing exceptional patient care.
Estimate your Patients' Future Healthcare Costs with our HCC Expertise
Many insurance companies rely on our HCC coding to give a risk adjustment factor (RAF) to patients. Insurers use the RAF score to predict the costs of delivering healthcare to patients. We provide a pool of AAPC and AHIMA certified coders who are highly trained in random chart audits, compliance medical coding methods, full recording for each diagnosis, and respective reporting to health plans.
Assign risk scores to patients based on ICD-10 coding with our experienced and reliable risk adjustment HCC coding services.
We provide comprehensive coding solutions, which include:
What We Offer
- Compliance audits and in-depth chart reviews performed by AAPC certified coders
- Focused chart review/medical records
- Maximize coding accuracy and uniformity
- Adhering to official coding rules and CMS guidelines for risk adjustment reporting
- In-depth review to identify potential errors or missing diagnoses on medical records
- Assigning an appropriate HCC value to the corresponding MRA diagnosis code
- Effective audit system with higher potential that keeps our coding standards the best in the industry
- Chart audit summary reports
- Constantly improve our coding skills through continuous learning programs
- Part C – HCC coding and RADV-focused yearly capture
- Suspect reporting on inferred/deduced diagnosis based on clinical cues
- 700 K+ charts audited up-to-date.
- Certified coders ready for deployment
- Service that's always been customer-driven
- Enhanced revenue
We have an in-depth understanding of every vital aspect of HCC coding and will always deliver the most accurate services.
Opt for our risk adjustment HCC coding services and effectively estimate future health care costs for patients at an affordable price.
Why Choose Us for HCC Coding?
45+
Certified Risk Adjustment Coders
100%
Coding Accuracy
125+
Providers Served
We provide comprehensive coding solutions, which include:
Highlighting Benefits
- Extensive record retrieval
- Skilled team for ensuring high accuracy
- HIPAA compliant services
- Our pricing is competitive, and you save more on costs
- Addressing a wide range of risk adjustments HCC coding requirements
- Personalized risk adjustment HCC coding solutions to meet your needs
- Strict security policies were adhered to.
- Client-oriented turnaround times
What are the Benefits Gained?
You'll always get a detailed solution that meets your requirements after we understand your requirements and goals. You can significantly benefit from our risk adjustment HCC coding solutions and get the most out of your investment.
100% Accuracy, Actionable Codes
Our team of risk management HCC coders have first-hand knowledge of numerous codes and regulations. Hence, we guarantee exceptional accuracy.
Cost-Effective Solution
We provide risk adjustment HCC coding services at affordable pricing to help you increase income and streamline your operation.
Improved RAF Score
Improved RAF ratings reveal a variety of important benefits for both the practice and the patient.
Data Security
Being a leading risk adjustment HCC coding service provider, we ensure a top-notch data security and are HIPAA compliant.
Quick Turnaround Time
Our risk adjustment HCC coding services will always be delivered on time and within your budget.
24/7 Intensive Support
Our project management, sales, and marketing teams are always available by phone or email to answer your questions.
High-Quality Services
With our years of experience in risk management and HCC coding, we are always confident of delivering the best quality services.
Effective Workflow
We have an efficient process flow and employ the best approaches to achieve optimal results.
Easy Scale Services
We have the necessary abilities to scale up the team size and service requirements as the customer requests.
Other benefits include decreased clinician workload and value-based care.
Gain a complete picture of your patient’s risk profile to improve clinical and reimbursement outcomes
Here in Aegis, our Health’s risk adjustment coders perform the below task:
How We Work?
- Identify patients without documented conditions.
- Validation of medical record eligibility.
- Analyzing patient health record documents to identify reportable conditions.
- Accurately assigning ICD-10-CM codes to the respective conditions.
- Submission of ICD-10-CM codes to CMS or HHS for the purpose of reporting.
- Know all regulatory changes, adapt, and work accordingly.
- Ensures that the clinical documentation and coded claim match, in accordance with coding standards.
- Assesses denied claims’ coding and documentation and performs coding edits for claim resubmission.
- Provide accurate solutions to prevent further audits.
- Uses patients’ demographics and diagnoses to determine risk scores.
- Ensure consistency and timely revenue.
What We Solve?
- Categorizing and grouping patient conditions for risk adjustment in payment and reimbursement models.
- Aiding in providing affordable health coverage to everyone - simple one-plan-fits-all model for everyone.
- Determining a relative measure of expenses to be incurred by the patients using their demographics and diagnoses to determine a risk score.
- Based on the assessment of the cumulative risk of each patient, predicting the health spending for a specific patient population.
- All chronic conditions are monitored and reported at least once each year, considering the specified treatments mentioned, the level of care, and the patient’s health status.
- Document and code chronic conditions being managed by practitioners.
- Documentation using M.E.A.T. concepts.
- Evaluating a patient’s complete risk profile to improve clinical and reimbursement outcomes.
- Assigning appropriate risk scores to patients based on ICD-10 coding.
- Encouraging consistency across the risk adjustment team.
- Gaining appropriate reimbursement from year to year for relative costs of care.