MRC can assist health plans, providers, and insurers with accurate, cost-efficient chart retrieval, analysis, coding audit, and coding education, providing a proactive solution for identifying errors and omissions, maximizing revenue, and increasing the likelihood of a successful CMS audit.

Healthcare and insurance professionals face increasing pressure to operate in compliance with the latest CMS guidelines, particularly as the latest round of Risk Adjustment Data Validation audits gets underway in 2009. Medicare providers, health plans, and insurance carriers can take action now to meet the challenges associated with accurate and complete Hierarchal Condition Category (HCC) coding and reimbursement.

MRC supports:

• Accurate ICD-9 coding and pre-audit coding review
• Complete and accurate reimbursements
• Appropriate risk assessment
• On-site or web-based education of provider staff in proper coding guidelines
• Coding audits to identify and correct errors prior to arrival of Risk Assessment Contractors.

Click here for MRC’s recent press release on our RADV Pre-Audit services.

MRC’s Other HCC Management Services

• Chart Collection
• Chart Analysis and Data Abstraction

MRC’s operations are HIPAA-compliant. MRC imposes strict protocols on the handling of all forms of Personal Health Information to maintain absolute security.