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.
Here are the 5 ways to Improve HCC and Risk Adjustment Coding -
- Having an accurate and updated problem list.
- See patients at least once a year.
- Public education and information dissemination.
- EMR optimization and better decision assistance.
- Monitoring performance and spotting potential.
Above Mentioned steps to improve HCC risk adjustment coding. for more information do visit our site.