Medicaid Risk Adjustment for Health Insurance Industry
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Medicaid Risk Adjustment

Medicaid plans can optimize recovery of correct and appropriate reimbursement revenue by using Verscend to retrieve and code patient medical records.

Verscend specializes in the retrieval, digitization, and indexing of patient medical charts as well as the relevant ICD-9 CM coding aspects of the Medicaid Risk Adjustment process. In particular, Verscend can help you with the following:

Online Medical Record Retrieval

Verscend’s RapidRetrieve™ system can scale to any volume of requests without sacrificing the fastest possible turnaround times.

Coding

Our experienced team of coders can be utilized as a complete coding solution or as a supplement to your current process or team.

Experienced Professional Coders

Verscend only hires experienced medical coders.

ICD-9 Coding

Verscend can abstract all ICD-9 codes within the patient chart based upon the documentation provided.

Errors & Omissions Coding

Verscend coders are skilled in identifying document issues within medical records that may prevent the record from holding up to an audit. In particular, coders can identify issues such as: no physician signature on the record, missing provider credentials, unacceptable provider type, missing patient name on the record, missing date of birth on the record, and illegible record, etc. Verscend coders will also look for documentation concerns which prevent coding to the highest level of specificity.

Provider Education Materials

As an invaluable resource to both health plans and the providers included in the chart review, provider education materials are a tool to help providers identify areas for improvement in their record documentation and also provide general coding guidelines. Errors within the record are identified that could prevent it from being a valid document for an audit, including documentation or coding concerns. Verscend has standard provider education materials, but can also develop additional customized materials. (sample report)

Record Documentation Management and Workflow

Verscend uses RapidReview™, an online workflow system to review, annotate and identify ICD-9 codes within medical records. Because all records are digital, the coders can access the records over the Internet any time, anywhere.

Medicaid Risk Adjustment Services

  • Online Medical Record Retrieval
  • Coding
  • Experienced Professional Coders
  • ICD-9 Coding
  • Errors & Omissions Coding
  • Provider Education Materials
  • Record Documentation Management and Workflow