Webinar: Improve Revenue with HCC Coding

Hierarchical Condition Category (HCC) methodologies play a vital role in demonstrating illness complexity, assessing the health of populations, and reimbursement for healthcare services. HCC systems are designed to accurately predict risk by categorizing medical diagnoses into clinical conditions or groups of related conditions with varying degrees of severity or risk.

Providers bear more financial risk in a value-based healthcare system, underscoring the importance of demonstrating the complexity of the patient population being treated by documenting HCCs. Hierarchical Condition Categories are used to stratify risk and healthcare expenditures by commercial payers and Medicare for Medicare Advantage (MA) and the Medicare Shared Savings Program (MSSP).

The Medicare Advantage and Affordable Care Act (ACA) individual health insurance marketplace populations are both subject to risk adjustment and continue to expand, representing a sizable portion of insured beneficiaries in the U.S. More than half of eligible Medicare beneficiaries are currently enrolled in a Medicare Advantage…