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FIFTY SHADES OF HCC’S – LOOKING INSIDE THE RISK ADJUSTMENT “RED ROOM AND HOW THE DAWN OF ICD 10 WILL CHANGE THE GAME” — by Holly Cassano, CPC, CRC, ICD-10-CM Certified CEO FORENSIC HEALTHCARE Partners Here we all sit, poised for what …
HCC Coding Definition HCC coding is a type of specialty coding and it’s hierarchical coding and that’s done for Medicare Advantage. Since 2004, Medicare has used the HCC Coding (Hierarchical Condition Categories) model to calculate payments to providers and health …
What Is Risk Adjustment? Risk adjustment methodology accounts for known and discovered heath data elements and compares levels of wellness among patients. The accurate selection of diagnosis codes plays a vital role in all risk adjust models. With the increase …
Risk adjustment coding or HCC coding (Hierarchical Condition Categories) were designed to assign scores to Medicare Advantage members’ based on their chronic conditions. The HCC coder’s job involves identifying and capturing the chronic conditions which carry an HCC and are …
The CRC just came out what – are we on our second month now that it’s been out, I think? The CRC Credential stands for Certified Risk Adjustment Coder. And so, we’re trying to change our verbiage that whenever we …
Q: “If you have 2 HCC codes in the same category such as 250.40 and 250.50 what is the trumping rule?” A: This is really funny because I think this might be one of our students who submitted this; I …
Laureen: HCC Course – You kind of talked about this a little bit, but if you want to share, we’re getting a lot of buzz in the chat about HCC people who are long time HCC coders, like, “Yey! Finally, …
Q: (HCC Coding and Drawing Lines) – You talked about drawing lines before when doing HCC coding. Can you give me an example of how to do that? A: Well, you bet I can. So, we can abstract a case …