Tag Archives: hospital

Midwest health plan recovered over $5K per ACA member after a pilot of MedKoder’s Risk Adjustment Management Technology Health plans and health systems are financially dependent upon the specific documentation of each individual patient’s diagnoses as classified within the highly specific CMS Hierarchical Condition Category (HCC) system and the management of those conditions. Failure to […]

August 10, 2017 Risk Adjustment Validation (RADV) audits have two main purposes, to ensure contracts have met CMS’ submission requirements, and to validate HCC codes by ensuring the submitted diagnoses are supported by medical documentation. If selected by CMS for a RADV audit, a mistake in either one of these areas can have severe financial […]

Is implementation taking too long with your Risk Adjustment Vendor? Choose one that makes it simple. Health systems and health plans are constantly inundated with technologies that promise a quick and easy implementation. However, all too often, these same technologies require intensive, costly IT support, which lengthens the project’s timing. Luckily, there is an easier […]

July 6, 2017 True or False: Contract Coding is Too Expensive True. Are you sure? While at first glance the hourly rate of a contract coder versus one you would hire internally appears to be more expensive, there are some other factors that come into play to make these numbers closer than you might think. […]

June 22, 2017 Quality health care is incomplete without the accuracy and completion of the medical record and the corresponding coding. To ensure the medical records are 100% accurately coded, it is important to complete a medical coding audit. Here are the top 10 reasons to conduct an external audit in 2017: With the increased […]

June 8, 2017 Chart reviews can be useful in uncovering common documentation errors that impact both Medicare Advantage payments and potentially patient care. However, many healthcare organizations across the country are getting penalized by the Centers for Medicare and Medicaid Services (CMS) based on the medical record data they are submitting, due to inaccurate/missing HCCs or risk adjustment […]

MANDEVILLE, La. – June 20, 2016 –  MedKoder, a full service medical coding management and technology provider, will be attending industry-leading healthcare trade shows and conferences in style. Premiering at the 2016 HFMA Annual Conference in Las Vegas is MedKoder’s new and improved booth. Custom built for MedKoder by Nomadic Displays, the MedKoder team collaborated […]