Accurate risk adjustment coding is a cornerstone of effective payment integrity, directly impacting reimbursement accuracy and audit risk. This session will explore how health plans can strengthen HCC coding through targeted audits, technology solutions, and coder education—ensuring proper risk score capture, reducing payment errors, and supporting defensible, compliant payment practices.
Learning Objectives:
- Understand common sources of coding errors and how to use audit findings, coder education, and feedback loops to strengthen HCC coding precision and reduce payment risk.
- Explore how strong auditing practices, clear documentation standards, and focused coder training can help health plans identify gaps, improve coding accuracy, and ensure compliance across payment integrity programs.
Session Type:
General Session (Presentation)