HCC (Hierarchical condition category) is a risk adjustment Coding model that helps estimate patients’ future healthcare costs and determines to fund Medicare Advantage plans from Medicare. Medicare calculates a Risk Adjustment Factor score for a patient based on their demographics and the HCC codes billed by the provider. The risk adjustment score is then used by CMS to determine the payment to Medicare Advantage Plans.
Having the aid of HCC coding tools can facilitate documentation in new encounters starting the year while also taking into consideration any updates to CMS policies.
For better risk adjustment coding one should follow RISE recommendations. for more information do visit our site.