While retrospective chart reviews help capture all HCC-related diagnostic codes for members, they do not address the need for provider education and training. Codicent offers a unique approach by providing a staffed physician to work directly with providers, ensuring improved documentation practices.
A prospective review enables health plans to identify, document, and pre-select claims before submission to CMS. This approach not only improves accuracy and compliance but also offers a significant revenue advantage, allowing plans to receive financial compensation 6 to 9 months earlier for the same date of service compared to retrospective reviews.
By listening, we understand our clients’ unique needs and select only the most qualified candidates for your organization.