Hierarchical condition coding (HCC) is a hospital risk assessment procedure to determine revenue based on a patient’s treatment. It relies on the complexity of each patient, the kind of treatment they need, and the future cost of providing the care. HCC coding companies use this data to help your facility calculate accurate data helpful in getting payments from insurance companies.
If you underestimate or overestimate the values, you may wrongly present the facility’s functionality, leading to inaccurate and sometimes lower pay. However, when you partner with expert medical coders, you can rest assured that you will get the proper reimbursement. Whether the insurer uses value-based payment or population-based payment, accuracy in the calculation plays a significant role in long-term revenue.
Therefore, you must hire HCC coding companies with experience serving other hospitals. They should have skilled personnel with extensive knowledge and skills in the area to enable you to benefit maximally. By correctly estimating each patient’s risk assessment factor (RAF), they can predict how long and costly the treatment will be and how much you need from the insurer. This will, in turn, portray the quality of treatment your facility offers and guarantee more income.
Even with numerous coding companies availing such services, you must ensure that you get the firm with an excellent track record. Working with experienced coders will reduce the rejection rate, giving you access to more funds from insurance firms. Outsourcing HCC coders will go a long way in helping your facility improve its funding rate and securing top rankings in quality healthcare.
Work with experienced AHIMA and AAPC certified coders from GeBBS Healthcare Solutions by contacting them at https://gebbs.com.
