Capture patient acuity accurately and ensure compliance. Our expert HCC coding services evaluate clinical documentation to validate MEAT criteria, optimize RAF scores, and secure the appropriate reimbursement for Medicare Advantage plans.
Hierarchical Condition Category (HCC) coding is a risk adjustment model used to predict future healthcare costs for patients. Utilizing specialized HCC coding services ensures that all chronic conditions are accurately captured in the clinical documentation. Following CMS guidelines for Risk Adjustment, we validate every code to protect your revenue and ensure compliance during RADV audits.
Capture the full clinical picture to ensure accurate RAF scores
Validate that all reported conditions meet the strict MEAT criteria
Identify missing or unsupported codes to prevent compliance risks
A dedicated team of certified coders that evaluates your patient encounters to capture every valid condition and optimize your reimbursement.
We review patient charts prior to their visits to identify suspected chronic conditions and ensure providers address and document them accurately.
Our coders assign precise ICD-10-CM codes that map to appropriate HCC categories, ensuring the clinical complexity of the patient is properly reported.
We perform rigorous post-encounter audits of medical records to identify missed diagnosis codes and uncover undocumented revenue opportunities.
We strictly validate that every assigned code meets the Monitor, Evaluate, Assess, and Treat (MEAT) documentation standards required by Medicare.
We provide actionable CDI feedback to your physicians, bridging the gap between clinical language and strict HCC coding requirements.
In the event of a Risk Adjustment Data Validation (RADV) audit, our pristine coding and documentation support protect you from costly recoupments.
We securely extract patient histories, problem lists, and current encounter notes directly from your EHR system.
Our certified coders thoroughly scrub the charts to identify all active and historical chronic conditions present.
We apply the most specific, accurate ICD-10-CM codes that map directly to the corresponding HCC risk categories.
We deliver ongoing CDI feedback to providers, ensuring future encounters consistently meet MEAT documentation criteria.
In value-based care, proper documentation is everything. We act as your risk adjustment safety net, ensuring patient acuity is perfectly captured and compliant.
Our tailored HCC coding services address complex chronic conditions, specific documentation requirements, and risk adjustment nuances across 40+ practice types.
See how we’ve helped medical centers capture accurate patient acuity and optimize their RAF scores.
"Since Synergy took over our HCC coding, our RAF scores finally reflect the true complexity of our patient panel. The revenue impact has been tremendous."
"Their retrospective audit uncovered dozens of chronic conditions we were under-documenting. The CDI feedback alone was worth the investment."
"Our providers used to struggle with MEAT criteria. Synergy's one-on-one education has made our clinical documentation practically audit-proof."
"We passed our recent RADV audit with flying colors thanks to their meticulous HCC coding services. Highly recommend their certified team."
"Since Synergy took over our HCC coding, our RAF scores finally reflect the true complexity of our patient panel. The revenue impact has been tremendous."
"Their retrospective audit uncovered dozens of chronic conditions we were under-documenting. The CDI feedback alone was worth the investment."
"Our providers used to struggle with MEAT criteria. Synergy's one-on-one education has made our clinical documentation practically audit-proof."
"We passed our recent RADV audit with flying colors thanks to their meticulous HCC coding services. Highly recommend their certified team."
Get a free consultation to see how our HCC coding services can accurately capture patient acuity, ensure compliance, and maximize your risk adjustment revenue.
