Optimize HCC Coding with Cira
Cira simplifies the complex process of HCC coding, automating the generation of codes based on patient diagnoses to improve risk adjustment and revenue capture.
Key Benefits
Automated HCC Coding: Generate HCC codes based on diagnoses to improve risk adjustment accuracy and ensure proper reimbursement under any payer model.
Medicare, Commercial, and Payer-Specific Models: Cira supports all three major HCC risk adjustment systems, ensuring that your coding is in line with the specific payer's requirements.
Medicare (Government): Align with the Medicare Risk Adjustment Factor (RAF) model for accurate coding for elderly and disabled patients.
Commercial (Private Insurance): Optimize coding for commercial insurance to help adjust premiums and claims accurately.
The Agent work for you
Payer-Specific: Tailor the coding process to fit payer-specific models, adapting to unique requirements for private insurers.
Rule Validation: Validate codes against common medical coding rules, and payer/provider-specific requirements to ensure compliance and minimize errors.
Medical Record Verification: Cross-check generated HCC codes with patient records to ensure the highest level of accuracy and data integrity.
FHIR Integration: Cira integrates seamlessly with existing healthcare systems, ensuring smooth data exchange across all touchpoints.
Results You Will Get
Improved Risk Adjustment: Ensure accurate risk scores and better revenue capture through precise HCC coding across all insurance models.
Maximized Revenue: Correct HCC coding across all payer categories ensures full reimbursement potential under Medicare, commercial plans, and payer-specific models.
Streamlined Operations: Faster, more accurate coding with built-in validation and verification processes, reducing manual effort and speeding up the claims process.
Discover the Power of Cira Today!
Transform your HCC coding process with automation and precision.
