HCC Risk Adjustment Coding


AE & Associates will help smooth the progress of HCC (Hierarchical Condition Categories) between IPAs/Medical Groups and Health Plans through an in-depth analysis in order to retrieve vital information that improves physician HCC coding, a key component under the CMS Risk Adjustment Model. AE’s solution, addresses the root of the cause of missing and incorrect HCC coding. We offer training for providers with a guarantee of > 95% rate in code accuracy, staff physician auditing the auditors and trained clinicians for optimizing member evaluations to Medicare Advantage guidelines.