Learn what you need to know about accurate and complete HCC Coding. This online and self-paced course, Introduction to HCC Coding, is currently under development with publication expected in November. Join our waitlist to be notified when Introduction to HCC Coding becomes available.
What is HCC coding?
CMS predicts more than 50% of the Medicare population will be participating in a Medicare Advantage program by 2020. Risk Adjustment and Hierarchical Condition Category (HCC) coding is a payment model mandated by CMS for Medicare Advantage Health Plans and increasingly used by other insurers to estimate future health care costs for patients. A thorough understanding of HCCs ensures complete and accurate HCC coding and presents an opportunity for improved data quality and appropriate reimbursement.
Introduction to HCC Coding provides comprehensive instruction on HCC Coding. Topics include:
- What are Hierarchical Condition Categories?
- What is Risk Adjustment?
- How do I calculate the HCC risk adjustment factor?
- How are documentation requirements for providers and coding guidance for the coding professional different under HCCs?
- What is needed to help with provider readiness and guidance?
Who should enroll in Introduction to Hierarchical Condition Categories Coding? This course is appropriate for coding professionals working in or with:
- Healthcare Systems participating in Accountable Care Organizations (ACOs)
- Medicare Advantage Health Plans
- Medicaid Managed Care Health Plans
- Affordable Care Act Health Plans
- Risk-based/Risk Sharing Health Plans
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