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Best Medicare Advantage and HCC Risk Adjustment Services in Newton, MA

Inferscience offers the best HCC risk adjustment coding services in Newton, MA. Since its beginning in 2003, the Medicare Advantage Program has gained popularity and has been essential in providing beneficiaries with Medicare services and payments. The Medicare Advantage Program continues to use the hierarchical condition categories (HCC) coding-based model for the assessment of risk adjustment coding factor scores in the prediction of healthcare costs for patients, although there are numerous risk assessment models available in the health sector for risk adjustment assessment.

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Inferscience offers different tools to facilitate HCC medical coding and clinical decision support for provider organizations. We constantly strive to facilitate documentation for healthcare providers while contributing to better patient care. We want to help provider organizations receive proper credit for the value of care provided. A common obstacle we have encountered is with EHR software integrations, as frequently EHR software companies are not willing to integrate with other companies. For more information about our services, visit our website now.

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Why You Need a Software Tool in Your HCC Coding Workflow

Inferscience offers the best HCC Coding Technology in Newton, MA. A medical billing system is only as strong as its coding system, but as the number of medicare advantage enrollees rises, so does the complexity of claims and code modifications. Many new codes, code modifications, and inactive code changes are introduced each year, making the medical billing process arduous and onerous for even the most experienced coders. For more information about our HCC Coding Technology, please visit our website now or contact us at 617 848 9502.

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Impact of Covid on Healthcare Providers: HCC Medical Billing & Coding Operations

Inferscience offers the best HCC medical billing and coding services in the United States. The situation in the US with COVID-19 has continued to escalate day by day. Healthcare providers are at the front line of this challenging situation that is impacting the healthcare system in unprecedented ways. In these times of uncertainty, healthcare providers have many moving pieces to worry about, today we will focus on the documentation aspects of the novel coronavirus. For more information about our HCC billing and coding services, visit our website now.

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Healthcare organizations must be able to forecast future healthcare financial resources and predict appropriate remuneration for physicians as the number of Medicare Advantage plan enrollees rises. The HCC coding risk adjustment model is used to predict anticipated costs for Medicare Advantage beneficiaries by CMS, and the results have a direct impact on the compensation healthcare organizations get. As value-based payment models gain traction, the HCC risk adjustment approach is becoming more widely used.

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Navigating HCC Coding and Risk Adjustment Challenges

Additionally, we advise investigating technologies for risk adjustment and intelligent HCC Coding, which can help your teams work faster and more accurately. The Centers for Medicare and Medicaid Services (CMS) requires that providers list all qualifying illnesses each year. Reimbursement is negatively impacted by inadequate documentation and vague diagnoses. When healthcare organizations improve their EMR technologies, data, analytics, and education programs for patients with chronic conditions, they can achieve more accurate HCC risk adjustment coding and appropriate reimbursement for outstanding care. For additional information on HCC coding technology that is connected with EHRs, visit Inferscience's HCC Assistant.

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Inferscience offers the HCC coding tools in Newton, MA. CMS requires that providers have a patient encounter each calendar year, and as mentioned in an article on monitoring, for HCC coding to be successful, “providers must report all diagnoses that impact the patient’s evaluation, care, and treatment, including coexisting conditions, chronic conditions, and treatments rendered.” providing specific and complete documentation of all diagnoses on an annual basis can be challenging for many practices, that’s where the benefits of having an HCC coding tool come in. For more information about our services, please visit our website now.

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Inferscience offers the best HCC coding Services in Newton, MA. A medical billing system is only as strong as its coding system, but as the number of medicare advantage enrollees rises, so does the complexity of claims and code modifications. Many new codes, code modifications, and inactive code changes are introduced each year, making the medical billing process arduous and onerous for even the most experienced coders. Claims that are denied or rejected because of coding errors might extend your days in A/R, making it more difficult to recover the entire amount you are entitled to. The HCC Coding software and workflow depend on the needs of each company, the size of the organization, as well as other logistic and financial factors. For more information about our services, please visit our website now!

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Inferscience offers HCC coding and medical billing tools specific for clinicians providing services to Medicare Advantage patients to provide technology that can optimize the HCC documentation process and help increase RAF scores. Inferscience’s HCC Assistant and HCC Validator solutions make prospecting and code validation quick and easy. We did like to extend our appreciation to healthcare providers all over the United States, if you’re a healthcare provider looking for HCC medical billing and coding technology tools you can visit our website or contact us at 617 848 9502.

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Inferscience offers the best HCC coding and HCC medicare risk adjustment services in Newton, MA. In this infographic, we will provide you the information about how to improve your medicare risk adjustment scores.  As enrollment in Medicare Advantage plans grows, healthcare organizations need to be able to predict future healthcare financial resources and appropriate reimbursement. This model uses beneficiaries’ demographic information and diagnosed medical conditions gathered into hierarchical condition categories (HCCs) to predict their costliness. Many organizations today struggle to achieve optimal documentation that will help them increase RAF scores and funding from medicare advantage risk adjustment contracts. Having a successful strategy implemented to improve HCC medicare risk adjustment scores for your practice can help reduce underpayments, enhance the quality of care and improve funding.

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Get the Best HCC Medical Coding Assistant from Inferscience

While you are working on your patient’s chart, the HCC Assistant automatically analyzes the clinical information in the background and starts preparing HCC coding suggestions to display within the patient’s chart. Once the HCC Assistant’s analysis is completed, you can review the suggested HCC codes displayed at the point of care, select the ones you want to document, and easily submit them back to the EHR in a couple of clicks.

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Inferscience will provide you with valuable information about how to take your HCC & risk adjustment coding to the next level with M.E.A.T. criteria auditing. Following M.E.A.T. criteria standards ensures healthcare provider organizations, coding companies, practice management consultants, and revenue cycle companies regularly monitor and audit for correct HCC coding.

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Inferscience offers real-time guidance for providers to Improve HCC coding and documentation services. Inferscience HCC Assistant helps coders and providers identify and document overlooked HCC diagnoses to improve coding accuracy and RAF scores, resulting in maximized funding from medicare advantage contracts. Optimize Your Risk Adjustment Workflow With Other Tools From Inferscience like HCC Assistant Coder Workflow, HCC Validator, and Claims Assistant. Visit our website for more information about our HCC Coding and Documentation services.

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Inferscience was founded by Dr. Sunil Nihalani with the mission to help clinicians provide high-quality care based on clinical guidelines, evidence-based studies, and scientific data. With the increasing importance of value-based care in healthcare, the company realized that clinicians need better HCC Coding tools, which led to the development of the HCC Assistant and other risk adjustment applications by Inferscience. We've just launched Infera, a clinical decision support system that makes your EHR smarter. Watch to learn more!

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Powerful HCC Risk Adjustment Coding Tool

Inferscience offers the Powerful HCC Risk Adjustment Coding Tool. HCC Assistant is an EHR-integrated HCC coding platform that utilizes advanced Natural Language Processing (NLP) to analyze structured and unstructured data in the patient’s chart. The complex intelligent rules built into the HCC Assistant allow it to find diagnoses that may have been overlooked, then display HCC code suggestions in real-time in the EHR.

It Works in Three Easy Steps:

Open your patient’s chart and let the HCC risk adjustment app automatically analyze the clinical information.

Review the suggested HCC codes and select the ones you want to document. You can also write your Plan of Care in the HCC Assistant.

Click “Submit” to add selected HCC codes to the Assessment and Plan!

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Get The Advanced HCC Risk Adjustment Coding Services in Newton

Inferscience offers a stand-alone version of the HCC Assistant which will allow users to analyze any digital clinical document for HCC diagnoses by copying and pasting the document into the HCC Assistant. All potential HCC diagnosis codes and ICD-10 codes are displayed by the HCC Assistant and can be quickly transferred back into the EMR. Providers who want to improve their HCC risk adjustment coding should give HCC Assistant significant consideration. the introduction of cutting-edge new technology for ideal HCC coding in real-time at the point of care. The HCC Assistant was created to maximize precise and timely documentation of the patient conditions necessary for assessing risk and estimating future costs.

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Increase Your Team Productivity with Easier Risk Adjustment Documentation

Inferscience offers the best risk adjustment documentation services in Newton, MA. Your team can analyze patients’ charts and capture HCC codes at the point of care. The HCC Medical Coding Assistant also provides a real-time risk adjustment factor (RAF) score to give you an idea of how the codes selected will impact the RAF score for a patient thereby predicting future funding and expenditures. A patient’s RAF is determined by several criteria, including Hierarchical Condition Categories (HCC). These are derived from the retrospective analysis of billed diagnoses codes (ICD10 codes). Deriving RAF for HCCs is relatively straightforward.