Hierarchical Condition
Category (HCC) Coding Services
Risk-Adjustment Audits
Chart Reviews and Audits of medical records to detect HCC and Medicare risk adjustment coding inaccuracies or missing diagnoses affecting "Risk-Adjustment Factor" (RAF) score.
Examples may include:
Health record does not have a legible signature with credentials or not authenticated and electronically signed.
Highest degree of specificity was not assigned to diagnosis.
A discrepancy exists between billed diagnosis and actual description of the condition noted in documentation.
Documentation does not indicate a condition as being Monitored, Evaluated, Assessed, or Treated (MEAT).
Chronic conditions and status codes are not documented on an annual basis.
About our team
JKL Coding Solutions is a trusted Business Consultant specializing in Medical Risk coding services. With over 9 years of experience in the industry, we provide expert guidance and support to healthcare organizations. Our team of professionals is skilled in Medicare auditing and credentialed with AAPC and AHIMA. We are committed to helping our clients optimize their coding processes and ensure compliance with industry standards while increasing your overall MRA scores.
