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Medicare Part C and Part D

Medicare Part C and Part D

Medicare reimburse Insurance companies for their patients under Medicare Advantage Plan for their Part C and Part D reimbursement using HCC Risk Adjustment Model.
At Medcodia, our coders know the importance of each diagnosis attached to HCC Risk Adjustment and how it can have clinical as well as financial impact. At the same time, our coders also understand any wrong diagnosis submission will have negative impact clinically as well as financially.

Our coders use Outpatient (OP) & Inpatient (IP) coding guidelines for proper code assignments which also includes supporting documentation of codes recorded by physician using MEAT.

We provide detailed information of diagnosis that can’t be captured due to insufficient documentation by physicians.

At Medcodia, we know the importance of impact of these diagnoses and have prepared to take on any sizable project. Our Certified Coders have over 5 years of HCC MRA Risk Adjustment Coding experience and will be exclusively assigned to work on your project.

At Medcodia, we have coders experience in

• Part C (HCC) and Part D (Rx HCC) – Unique ICD once per year
• Part C (HCC) and Part D (Rx HCC) – Unique ICD twice per year
• Part C (HCC) only – Unique ICD once per year
• Part C (HCC) only – Unique ICD twice per year
• Part C (HCC) only – All Encounters
Part C (HCC) and Part D (Rx HCC) – All Encounters