- info@solutions3x.net
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Our HCC coding support services are built to ensure accurate and compliant risk adjustment coding, aligned with CMS guidelines. Our team of certified coders reviews clinical documentation to capture all relevant chronic conditions and comorbidities. This supports accurate risk score calculations, enhances documentation quality, and ensures alignment with Medicare Advantage and ACA risk adjustment programs. Whether you need prospective reviews, retrospective audits, or assistance with RADV audit readiness, our coding services help you strengthen risk adjustment activities and close coding gaps.
At Solutions3X, we support payer organizations by managing claims handling support functions such as data entry, validation, eligibility verification, and duplicate detection ensuring clean and complete claims enter your adjudication systems. This reduces internal processing time, improves accuracy, and minimizes rework.
On the prior authorization side, we manage the intake of requests through multiple channels, verify supporting documentation, and prepare cases for clinical review. By outsourcing these non-clinical functions to our team, payers can reduce operational backlog and maintain regulatory compliance.
