Why Should HCC Coding Be Given Preference and Where Should It Begin?

Having a Risk Adjustment Platform is the most compelling reason to focus, comprehend, and plan for the transformation in healthcare payment and delivery models. Healthcare professionals anticipate value-based care and risk-sharing revenue cycle management to be the biggest important condition in the healthcare market in the next five to ten years.

Currently, healthcare organizations are searching for a Risk Adjustment Solution that is technologically advanced in order to handle the demands of value-based care and RAF participation in payment structures.

The transition to high-quality, patient-centered medical services in the healthcare system is a difficult journey with strict deadlines, complex and convoluted regulations, multifaceted selections, and quite many initialisms. However, one of the major factors that determine the success level is HCC coding Solution, which is also one of the most crucial approaches to obtain comprehensive data and understand the actual costs of medical care.

Begin By Prioritizing HCCs

Successful healthcare providers are documenting extensively and accurately using Hierarchical Condition Categories (HCC) and Risk Adjustment Factors (RAFs), whereas coders select the most exact ICD-10 codes to document the accurate scoring. 

Health insurance companies that are already familiar with RAF scores and HCCs may be interested in learning more about the impact of accurate HCC Coding Solution on revenue cycle performance and future metrics.

Patients That Come To You

HCC requires that the user give the entire account. The physician must capture demographic data that may impact the patient's treatment or reaction to care in order to properly comprehend the patient's requirements.  Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) efforts incentivize physicians to submit reports about their intervention and assessment of the patient, and compensate them accordingly, ensuring that physicians who achieve positive results are compensated and recognized. Begin by attempting to encourage patient involvement. With the improvements in healthcare systems, there is a significant trend toward people taking greater responsibility for their own health and wellness. 

Your Service Providers

Only the relevant information of the physician record keeping can be used by medical coders to generate ICD-10 codes accurately. The patient's complication is not adequately reflected and the risk is not appropriately indicated if the physician record keeping is missing.

Your Coding Experts

ICD-10 has substantially extended the code list, allowing the HCC Coding experts to record the diagnosis to the maximum degree of specificity, emphasizing the patient's need for sophisticated care services. When a clinician documents the whole spectrum of their treatment for a patient, it demonstrates how well the patient will be monitored and the level of care delivery.