Walk Through
HCC Coding
and
Risk Adjustment

Experts in Medicare Risk Adjustment (MRA) have a deep understanding of the complete Medicare Advantage system, as well as the specific challenges and opportunities associated with MRA. They are also able to leverage their knowledge for the most rewarding industry roles and compensation.Here are some of the key things that separate experts in MRA from others:

• Deep understanding of the Medicare reimbursement system: MRA experts have a comprehensive understanding of the Medicare Advantage system, including the different types of Medicare Advantage plans, the risk adjustment model, and the latest regulatory changes. This allows them to be in the forefront an be the most desirable candidates for all roles. 
• Expertise in data analytics and compliance: MRA experts are able to identify and capture risk-adjusted revenue using risk models.
• Compliance expertise: MRA experts are familiar with all applicable Medicare regulations, including the risk adjustment model and the CMS audit process.

In addition to the above, MRA experts are also typically highly skilled in the following areas:

• Project Success: MRA experts are able to effectively navigate complex MRA projects, collecting and analyzing data, and submitting required data to CMS / Medicare.
• Communication and teamwork: MRA experts are able to effectively communicate and collaborate with a wide range of stakeholders, including healthcare providers, payers, and members.
• Problem-solving: MRA experts are able to identify and solve complex MRA challenges.

Overall, experts in MRA have the skills and knowledge necessary to help healthcare organizations optimize their Medicare reimbursement.