The Coding Source (TCS) improves performance in HCC (and other) Risk Management programs through an extensive complement of retrospective, prospective, and compliance services that improve diagnosis capture, promote adherence to CMS guidelines, and rationalize education and consulting opportunities to advance documentation and coding quality improvement.

Our services supporting Risk Adjustment include processes and people that help clients better understand the individual and overall risk factors of their members. Working directly with health plans and physician organizations, TCS coding specialists review medical charts, capture appropriate diagnoses, and forward data to support your RAPS management processes.

Along with accurate capture of diagnoses, the data we capture also helps assess provider documentation and coding improvement opportunities. The deficiencies discovered help you segment your provider population to determine the best means to cost-effectively target training interventions to improve coding practice among your high-profile, high-volume providers.

With the elevated emphasis on compliance, and working with your staff, The Coding Source is often called upon to define the documentation and coding policies and procedures of your Compliance Program. These policies are often implemented and supported by combining retrospective and prospective components to capture or audit codes while concurrently and continuously improving provider documentation and coding practices.

Medicare Advantage Plans and others impacted by diagnosis-based risk adjustment, their medical groups, Independent Practice Associations, care management companies and analytics partners all benefit from the capabilities that The Coding Source provides. We commit our growing experience and knowledge to help you improve your understanding and management of member risk, correct provider documentation and coding issues at their source, and create results that positively affect your financial performance.

 

Download the full HCC brochure.