
The Role of Risk Adjustment Vendors in Reducing HCC Gaps and Improving Financial Outcomes
The Cost of Missed Diagnoses: A Provider’s Dilemma Dr. Williams, a seasoned primary care physician, reviewed the year-end financials for his group practice with growing concern. Despite providing high-quality care to Medicare Advantage patients, reimbursements were lower than expected. A deeper audit revealed the issue: missed Hierarchical Condition Category (HCC) codes due to incomplete documentation….