HCC CODING MADE SIMPLE

Lightbeam’s advanced HCC solution identifies opportunities to increase HCC coding accuracy
through continuous data surveillance.

COMPLETE VISIBILITY. HIGHER ACCURACY.

Medicare Advantage (MA) plan members know that accurate HCC coding is critical to receiving vital funding to treat patients’ needs.

Providers hold the primary responsibility to log codes correctly, and when they do not use the most applicable HCC codes for a given condition or fail to recapture HCC codes annually, it leads to an inaccurate representation in your risk adjustment factor (RAF) score.

Within the HCC coding module, Lightbeam notifies a physician of an HCC code’s open status and specificity gaps at the point of care, ensuring accurate, up-to-date documentation to positively impact the organization’s RAF score to help secure funding and reimbursement.

HCC Coding Solutions - Improve HCC Coding Accuracy - Lightbeam Health Solutions

Lightbeam’s HCC Coding Solution:

  • Allows you to view your patients’ HCC eligibility status which, when accurately coded, will increase the average RAF score for the patient population and generate reimbursement dollars
  • Identifies patients with HCC coding opportunities while they are in the exam room
  • Confirms providers receive the full amount of compensation they are due for treating patients and their diagnoses

INTUITIVE SUSPECT CODING IDENTIFICATION

Because our technology collects clinical data, lab data, and pharmacy data in real-time, the system can identify questionable trends that may indicate that a patient has an undiagnosed condition. If your patient takes a particular medication that corresponds to a diagnosis, but Lightbeam has never seen that diagnosis on a claim, it might be undiagnosed. You can now see underlying information that is otherwise invisible, keeping your team one step ahead.

FULLY INTEGRATED RISK ADJUSTMENT SUPPORT
LIGHTBEAM’S HCC SOLUTION CAPABILITIES INCLUDE

HCC Coding Solutions - Improve HCC Coding Accuracy - Lightbeam Health Solutions

FLAGGING CODES BY STATUS & DIAGNOSIS

Gap Tasks

HCC GAP TASKS

Population health management, healthcare data management, healthcare management solutions, healthcare management systems, healthcare analytics - Lightbeam Health Solutions

YEAR OVER YEAR PROGRESS REPORTING

HCC Coding

SUSPECT CODING

Real-time results from Lightbeam clients

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