Tag Archives: risk adjustment management

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 […]

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 […]

MedKoder is excited to return to HFMA ANI this year in Orlando, FL, June 25-27, 2017.  Join us at Sunday’s Opening Reception and in the exhibit hall on Monday and Tuesday at MedKoder Booth #813. Are you on social media? Don’t forget to use the conference hashtag, #HFMA2017ANI, and follow MedKoder’s socials to keep up with […]

What a great turn out! Thanks to everyone who attended MedKoder’s live webinar: Just when you think you captured all of your HCC opportunities…Think again!  Thu, April 27, 20171:00 PM – 2:00 PM CDT If you didn’t make the webinar and want to learn more about HCC Capture Best Practices and ROI on risk/value based […]

January 31, 2017 As we are well into the new year, health systems, providers, and payers should assess their current risk adjustment process and plan to make improvements starting with documentation and coding, understanding CMS deadlines and rule updates, and analyzing final reports. Here are 5 tips to better manage and improve the risk adjustment process: […]

Mandeville, LA – October 31, 2016 http://www.prweb.com/releases/2016/11/prweb13812987.htm MedKoder, LLC, a full service medical coding management services and technology provider, is pleased to announce that with the implementation of MedKoder’s proprietary RAM technology, their clients have collectively recovered over $150 million in lost premiums. The combination of MedKoder’s innovative Risk Adjustment Management technology with their proprietary Natural […]

Mandeville, LA – October 17, 2016 http://www.prweb.com/releases/2016/10/prweb13772171.htm MedKoder, LLC is currently expanding acceptance of requests to pilot a one of a kind risk adjustment management solution for health plans or health systems providing coverage in the Affordable Care Act (ACA). Until recently, MedKoder’s clientele were health plans and health systems that were in risk-based contracts […]