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Risk Adjustment Coding

AdvantmedRisk Adjustment Coding


Client-specific coding guidelines are informed by HCC and ICD-10 methodologies.

Advantmed’s experienced and certified coders must meet a 97 percent coding accuracy rate on projects. Accuracy is ensured by using a two-stage process that includes 100 percent over-read of all medical records.

Access hyperlinks to HCCs, real-time reporting, and documentation improvement opportunities are available through the ELEVATE! platform.

Clinical mapping reduces false positives during suspecting due to the mapping of acute versus chronic conditions at the ICD-10 level. Data is captured from multiple sources to identify chronic conditions that require intervention.

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