Risk adjustment is an actuarial tool to predict health care costs. Hierarchical condition category (HCC) coding is a risk-adjustment model created by the Centers for Medicare & Medicaid Services (CMS) to estimate future health care costs for patients.

Most clinicians are aware of new models of payment, including accountable care organizations (ACOs), bundled payments, and value-based purchasing, that are increasingly shifting financial risk to providers. However, many physicians may be unaware of how essential accurate coding is under these models to characterize risk, enhance shared savings, and provide patient-centered care.

Working with AIE Medical Management will allow improvement with the basic and essential billing and coding in reference to HCC categories. We will help your practice advance in the following categories:

HCC coding is the revenue engine that empowers organizations to make the investments needed to succeed in value-based care. Implementing an effective HCC coding program requires a disciplined and thorough approach, and is essential to strong financial and clinical performance under value-based reimbursement contracts.

We have a staff of professional medical billers and coders that strive consistently to use best practices to help improve a practices performance, accuracy and reimbursement.