Medicare Advantage: Five Ways to Improve Coding and Reimbursement
All Specialties•Hackensack Meridian Health Partners
What you need to know
It’s vital to code and document all chronic conditions accurately. The Centers for Medicare and Medicaid Services (CMS) calculates reimbursement for Medicare Advantage patients by reviewing the previous year’s medication history, disease diagnoses, Hierarchical Condition Categories scores (HCC) and other risk adjustment factors.
The following strategies can help you improve your coding and reimbursement accuracy.