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Q #1: Alicia, would you please explain “Medicare Advantage Coding” please?

HCC and Medicare Advantage Coding – Video

A: That has to do with HCC Coding, Medicare Advantage, and they do diagnosis coding. So, Medicare Advantage Coding is done for HCC Coding and that’s hierarchical coding. It’s done for projection on how much they need to set aside for a patient for the next year. So, if a person has diabetes and that’s all that they have, then they know to set aside there would be a specific number like a 19; so for 19 they set aside x amount for the next year. If a person is a diabetic, has hypertension and high cholesterol and also has had their toe amputated, then those all get HCC codes and they know to set more money aside. And it has to be a diagnosis code that is – you know, not all diagnoses have HCCs only ones that are life-altering like diabetes.

Learn More Information about Medicare Advantage Coding

Medicare Billing Guidelines | Medicare Parts A, B, C, and D – Video

AAPC – Medicare Advantage Plans Lab

Medicare Advantage Coding

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2016-11-20T23:37:28+00:00

About the Author:

Laureen Jandroep
CPC, COC, CPPM, CPC-I.,Sr. Instructor for CCO.us. Resides in southern New Jersey with her husband of over 20 years Anthony and four children. They are active parents and spend most of their time these days just being parents which they love.

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