The Value Of HCC Coding In Medicare Advantage Plans
Hierarchical Condition Categories (HCCs) are a prominent issue in healthcare, and there's no greater opportunity to explore the value of HCC coding for Medicare Advantage Plans than now. HCC Coding is the Risk Adjustment (RA) technique utilized by the Centers for Medicare and Medicaid Services (CMS) to calculate yearly reimbursements for Medicare Advantage (MA) beneficiaries. HCC risk adjustment employs predictive analysis to estimate the cost of medical care coverage for a specific population based on the severity of their chronic conditions, risk factor, and status. CMS uses this method to calculate cost reductions for individuals registered with Accountable Care Organizations (ACOs), and HCC risk adjustment will evaluate which Practice Risk Group individuals will be assigned under the revised primary care program. Accurate HCC Coding is Critical for Medicare Advantage Plans and Providers: Correct diagnostic coding is indeed crucial, and it is essential for the correct ris...