It is important for practices to create a workflow so that HCC Coding becomes easy to implement. If your healthcare facility is struggling with HCC coding, then it is time to make necessary changes. Only when coding is done with…
With several changes taking place in the Medicare Advantage industry, it has become extremely important for physicians to capture data in a timely and accurate manner. It has become more critical than ever for them to also track a patient’s…
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…
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.…
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…
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