admin October 22, 2019 HCC Coding

HCC Coding and Risk Adjustment Model

Risk adjustment and HCC coding (Hierarchical Condition Category) model was mandated by the CMS in 1997. Today, the payment model plays a crucial role in insurance benefits and reimbursement scenario. Under this model, a risk factor score is assigned to…
admin October 19, 2019 HCC Coding

Importance of Documentation in HCC Coding

CMS uses the HCC (Hierarchal Condition Category) risk adjustment model for estimating the predicted costs for Medicare beneficiaries. The results have a direct impact on the revenue received by healthcare organizations for patients who are enrolled in Medicare Advantage Plan.…
admin October 16, 2019 HCC Coding

Benefits of Outsourcing HCC Coding

Compensation of any healthcare organization relies heavily on the accuracy and efficiency of medical coding. If the billing department isn’t well-trained to handle the complexities of coding, it might lead to significant revenue loss. Same is the case with HCC…