How to reduce the stress of the RADV audit process

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 consequences, so there’s one key … Read More

Is implementation taking too long with your Risk Adjustment Vendor?

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 way to get an implementation … Read More

MedKoder to Host Live Webinar on Maximizing Your Risk Adjustment Timeline

Live Webinar: How to Maximize Your Risk Adjustment Timeline Wed, August 9, 2017 1:00 PM – 1:30 PM CDT CLICK TO SIGN UP FOR WEBINAR The CMS deadline is approaching for Medicare Advantage patient claims. On January 31, 2018, patient claims for the year 2016 will no longer be accepted by CMS. Now is the time to reflect on your … Read More

True or False: Contract Coding is Too Expensive

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. First, let’s make sure that … Read More

Top 10 Reasons to do an Audit in 2017

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 specificity of ICD-10, your case … Read More