As healthcare shifts to a value-based care model, the financial burden increasingly falls on providers rather than payers. To thrive in this evolving landscape, provider organizations must enhance documentation, align evidence, and improve coding quality to maximize reimbursement. Sciinov Health’s Hierarchical Condition Category (HCC) coding services can significantly boost your bottom line, enhance cost forecasting, and improve patient satisfaction among high-risk populations.

Our certified risk adjustment coding team employs proven processes and advanced workflow technologies to engage physicians effectively and prioritize high-value, high-volume encounters. We also utilize artificial intelligence to identify missing diagnoses, estranged evidence, and other issues, ensuring optimal reimbursements and better management of at-risk populations.

Sciinov Health's risk adjustment coders conduct thorough reviews and coding through:
Retrospective Reviews
Concurrent Reviews
Prospective Reviews

Our elite team of professionals is adept at coding intricate cases for risk adjustment, including HCC coding, guaranteeing precise RAF scoring and reimbursements for patients with chronic conditions.

Sciinov Healthcare pledges to:

• Execute meticulous diagnostic coding with high precision.
• Validate the completeness and accuracy of medical records in accordance with Hierarchical Condition Categories (HCCs) guidelines.
• Authenticate risk-adjusted codes and documentation as per industry benchmarks.
• Assess documentation based on M.E.A.T. criteria.
• Provide dashboards and analytical tools to facilitate effective management of your Risk Adjustment population.