Value-Based Care

Risk Adjustment Coding

Risk adjustment determines what type of care an individual patient needs and how much risk the organization is taking on managing that care. Risk adjustment coding is vital to ensure patients are appropriately diagnosed and care is documented according to risk level. This allows the organization to receive appropriate capitated payments to provide all the care needed to reduce avoidable hospitalizations and achieve optimum health. 

Implementing risk adjustment coding can be time-consuming and challenging. It requires sufficient patient data, strong coding, and data management skills. The administrative burden can be overwhelming for a busy organization. LeBaron Healthcare Solutions provides risk adjustment coding services to meet your needs. 

 

 

Healthcare Effectiveness Data and Information Set (HEDIS) Supplemental Claim Submissions

The National Committee for Quality Assurance (NCQA) reviews patients’ medical records to determine if the quality of care measures have been met. NCQA also uses chart reviews as data sources to determine any incentives or financial rewards for healthcare plans. It is important to conduct your own HEDIS chart review, to ensure that it accounts for all services performed in an accurate manner, before the NCQA reviews medical records. LeBaron Healthcare Solutions can perform the preliminary review for you, saving you valuable time to focus on the care of your patients. We can also submit supplemental claims data. Just contact us for more details. warranted.  Just contact us for more information by completing a message form located under the Contact us Tab.

 

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Address

3030 North. Rocky Point Drive West | Suite 150 Tampa, Florida 33607

Call Us

Business phone number: (813) 733-4330 ext. 101 Direct line: (813) 733-4990

Email Us

info@lebaronhealth.org