Hierarchical Condition Category (HCC) codes are essential in transitioning the healthcare system from fee-for-service to value-based care reimbursement models. HCC codes are used for risk adjustment, forecasting medical costs for patients with complex healthcare needs, and determining reimbursement rates.
The nature of HCC coding is complex, with thousands of diagnosis codes mapping to different HCC categories. The stakes involved are high, and accuracy is critical to ensure appropriate reimbursements. Proper documentation of HCC codes significantly affects reimbursement rates, positively or negatively.
Download the white paper, “Optimizing HCC Coding for Accurate Reimbursement in Healthcare.”
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