HCC Audit

CHN is a leading service provider for HCC ICD-9 code recovery for Medicare Health plan members.

The team comprises of expert, clinically-trained coders (CPC, CPC-H) and physicians who engage in highly efficient chart reviews to recover valuable ICD-9 codes for health plans, MSO, IPA and Medical Groups.

Process steps include:

  • CHN staff retrieves the provider patient charts by scanning onsite.
  • The scanned charts are uploaded to the client or CHN’s site
  • Each chart is audited and coded by CPC codes - following the Medicare correct coding guidelines.
  • CHN documents the coded charts on the approved.
  • Ensuring accuracy and appropriateness of codes submitted to maximize reimbursement
  • CHN can assist the MSO, IPA & Medical Groups with the submission to the various Health Plans.