HCC-Coding Services to complete submission to RAPS / EDPS well-before the prescribed time-frames. We conduct proxy or mock Risk Adjustment Data Validation (RADV) audits on the lines of CMS-RADV Audit Contractors for determining vulnerabilities in real time audits and recommend measures to ensure compliance with applicable statutes. This initiative helps MAOs to keep tab on their liabilities for penalties and sanctions which may arise out of real time audits. We also conduct 360 ° full performance analysis of:

• Panel-providers to ensure appropriate Clinical Documentation and Coding team performance for accuracy of coding process.
• Communication channels between Clinicians and Coders for appropriateness of prescribed PQP.
• Data Submissions Team to ensure that coding data are submitted to RAPS/EDPS in prescribed time lines.
• Patient encounters to see that follow-up of patients from plan happens as desired to enable the patients to stay healthy and stay subscribed with the plan.
• We also offer -Star Rating and HEDIS Data Abstraction Services for entitlement of Quality Performance Bonus (QPB) by helping you get the star rating score of 4/4.
• Highest standards of coding quality with ongoing quality checks occurring throughout the life cycle of projects.
• Real-time RAF reporting to help payers extract appropriate compensation and avoid sizable penalties.
• Confirmed accuracy of existing diagnosis data and identification of risk-adjusted conditions that were not previously submitted.