HCC Coding Services

Risk-Adjusted Coding for Maximum Reimbursement

Scalable HCC & Risk Adjustment Coding Solutions by QWay Healthcare

Book your Free Consultation

Fill in your details below, and we’ll schedule a personalized session at your convenience.

Global Workforce

0 +

Charts Coded Annually

0 +

AR Transactions Annually

Providers

0 +

Credentialing Applications Submitted

0 +

why choose Qway Healthcare

QWay Healthcare’s Approach to HCC Capture and Risk Adjustment Reporting

QWay Healthcare is a trusted and experienced partner for risk adjustment HCC coding for healthcare plans. We accurately capture patient demographic details and assign precise HCC codes, which play a critical role in determining the RAF (risk adjustment factor) assigned by insurance payers. Leveraging ICD-10 coding, our team ensures each patient’s risk score is correctly calculated, supporting accurate reimbursement and compliance.

Medical Record Eligibility Review QWay Healthcare carefully validates each patient’s medical record to ensure it meets HCC reporting criteria. Accurate eligibility checks reduce errors and support compliant coding practices.

Precise HCC Code Assignment Our certified coders assign the correct ICD-10-CM HCC codes for every patient based on thorough documentation. This ensures accurate risk adjustment and proper RAF scoring.

Timely HCC Reporting to Payers We submit ICD-10-CM codes to CMS or HHS promptly, ensuring compliance with reporting deadlines. Timely submissions help healthcare plans avoid penalties and secure appropriate reimbursements.

Customer Growth

Company Development

Business Transformation

HCC Risk Adjustment Coding Services by QWay Healthcare

QWay Healthcare provides expert HCC risk adjustment coding services with a team of certified coders experienced in CMS guidelines. Our coders accurately abstract all diagnoses relevant to Hierarchical Condition Category codes, ensuring submissions meet regulatory standards using AI-assisted workflows.

Certified Coding and Compliance Reviews

Our AAPC-certified coders conduct detailed chart reviews and compliance checks. They ensure all HCC conditions are correctly documented and coded according to industry standards.

Medical Record Abstraction & HCC Mapping

QWay Healthcare thoroughly reviews patient records to identify all relevant diagnoses. Each diagnosis is accurately mapped to the appropriate HCC code. We document precise RAF scores to ensure correct risk-adjusted reimbursements.

Alignment with Industry Standards

Our coding team consistently follows CMS and payer-specific guidelines to maintain full compliance. Accurate coding supports proper risk-adjusted reimbursement and enhances overall revenue cycle performance.

Why you Outsource HCC Risk Adjustment Coding Services to QWay Healthcare 

QWay Healthcare’s certified coders are experts in all aspects of risk adjustment, applying the right tools with precision when it matters most. We deliver comprehensive HCC risk adjustment services powered by advanced technologies. Here’s how we support your practice

Conduct regular coding audits to ensure compliance and reduce the risk of penalties during government or payer reviews.

Assign accurate HCC codes and document RAF scores precisely for every patient.

Review annual medical records and cross-check for missed conditions to maintain RAF accuracy.

Stay updated with the latest HCC and RAF guidelines to remain fully compliant.

Who We Are

Trusted. Ranked. Proven. Among

Top 10 Medical Billing Companies in United States

Testimonials.

Giles and his team at Herrington Business Consulting have been absolutely great to work with and they definitely have gone above and beyond for us by streamlining all of our accounts so that we can focus on what we do love to do and continue to grow our business.

Heather Smith - Talk

Director, Radical Orange Pty Ltd.

Heather Smith - Talk

Director, Radical Orange Pty Ltd.

Heather Smith - Talk

Director, Radical Orange Pty Ltd.

Heather Smith - Talk

Director, Radical Orange Pty Ltd.