Risk Coding Assistance

In the new era of value-based contracts and CMS (Medicare) shared savings initiatives, risk coding (sometimes called Risk Adjustment or Hierarchical Condition Category Coding) is key. This is because payers use a practice’s own diagnosis codes to help determine a budget for health spending on its patients. 

Risk coding gives payers an accurate picture of a patient’s conditions and needs, including risk of serious complications, worsening conditions, and hospital stays. The more accurate a patient’s coding is, the better a practice and insurer can predict what will be spent. 

There are now over 69,000 total ICD-10 codes, and only about 1 in 7 of those codes adjusts a patient’s risk. InnoMed’s professionals have a strong understanding of which codes physicians should use and how they should be applied, as well as the documentation needed to support the coding. Even small changes to coding habits can result in much larger shared savings payments or avoidance of repayment of at-risk amounts, and InnoMed can help you make those changes. 

For more information on Risk Coding Assistance, contact InnoMed Management Group today.