HCC Coding

HCC Coding

You don’t need another vendor, you need a partner. Mercury Global is the trusted choice to strengthen your competitive advantage and help you drive growth. For Risk Adjustment, we can help you maximize payments and eliminate errors with accurate outsourced HCC coding by our certified AAPC or AHIMA clinical professionals and coders.

  • Our AAPC or AHIMA certified coders have an in-depth knowledge and understanding of risk adjustment coding and CMS rules
  • Clients will have and experience team of coders that will be trained on their coding guidelines
  • We validate all coders at 100% coding accuracy before starting any project
  • Consideration is given to the appropriate hierarchies and interactions thorough chart coding services to ensure all appropriate diagnoses are identified and supported within the medical record

Mercury Global ensures Medicare Advantage organizations receive the appropriate payment for their members. This enable them to affordably offer programs to those with riskier health status. We also provide significant efficiency improvements in communications, data management, coding, and reporting. Choosing the right partner will ensure alignment with your methodology, enable best practices and ultimately generate the best results.

Highlights of Coding Approach

Frist Code
Submission Review
Qualilty Review
External Audit
Target Audit
Parallel Claim
Review

Quality Assurance = Accuracy

  • Coding guidelines lead to achieving coding accuracy targets
  • Clearly understanding claims to chart diagnosis match process ensures quality and avoids confusion when coding
  • Automation around quality oversight uncovers problem areas before they become issues
Coding

Mercury Global’s experienced team of coders can be utilized as a complete coding solution or as a supplement to your current process or team.

Experienced Professional Coders

Mercury Global has AAPC and AHIMA certified and experienced medical coders with years of experience.

ICD-10 Coding

Mercury Global can extract all ICD-10 codes in the patient chart based upon the documentation provided. This can include only ICD-10 codes which have a corresponding HCC or all ICD-10 codes found in the medical record.

HCC Coding

Mercury Global can extract all HCC codes to assist Medicare Advantage plans in completing accurate risk assessment of their membership and submit complete and accurate data for a EDPS file before CMS deadlines.

Errors & Omissions Coding

Mercury Global coders are skilled in identifying document issues in medical records that may not pass a CMS audit. For example, coders can identify issues such as: no physician signature on the record, missing provider credentials, unacceptable provider type, missing patient name on the record, missing date of birth on the record, illegible record, etc.

Provider Education Materials

As an invaluable resource to both health plans and the providers included in the MRA chart review, provider education materials are a tool to help providers identify areas for improvement in their record documentation and also provide general coding guidelines. Mercury Global has standard provider education materials but can also develop additional customized materials.