eNoah’s Certified Professional Coders implement the principles of Correct Coding Initiative and medical necessity parameters, in precise coding CPT-4 Procedure Codes and...
eNoah’s Certified Professional Coders implement the principles of Correct Coding Initiative and medical necessity parameters, in precise coding CPT-4 Procedure Codes and ICD-9 CM Diagnosis Codes to prevent Compliance, Risks or Revenue Loss.
Medicare patient capitation will be tied to risk scores that correspond to Hierarchical Condition Category (HCC) rather than entirely on patient demographic factors. The patient’s medical condition should be completely captured to get the appropriate payments for each patient.
At eNoah, we focus on capturing the appropriate ICD-9s, manifestation of diseases and the allied codes of diseases to optimize the RAF scores. This, in turn, increases the quality of patient care, as required by the Center for Medicare and Medicaid Services (CMS).
Our goal is to help physicians document all the diseases, which will result in the appropriate RAF score for each patient. This will, in turn, improve your CMS 5 Star/HEDIS measures.