Retrospective chart coding is more than a financial, or compliance, activity. It’s a critical tool for improving healthcare delivery and achieving better outcomes. Revisiting past documentation helps health plans identify gaps in care to ensure members have access to the resources they need for optimal health. This attention to detail has many benefits. 

Identifying Gaps in Care

Retrospective chart coding often uncovers missed diagnoses and documentation errors that prevent health plan members from receiving the treatments and other resources they need. Addressing these gaps in care helps members with chronic or complex conditions better manage their health, which leads to better, overall health outcomes and fewer hospitalizations. 

Improving Care Coordination

Accurate, complete medical coding provides valuable insights into a member’s health status. These insights enable health plans to coordinate care more effectively, and ensure members receive timely interventions and follow-up care.

With better data, health plans can identify high-risk members and implement targeted care programs to address their specific needs.

Driving Better Outcomes With Focus Care

FocusCare’s retrospective chart coding services combine advanced analytics with expert coding to help health plans optimize their risk adjustment programs and deliver better health outcomes for members.

Contact usto schedule a free consultation and learn how Focus Care’s Retrospective Chart Coding solutions can help you achieve greater accuracy, compliance, and care quality.