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Preparing for an HCC Audit: Proactive Reviews

14 January 2019
by: Libman Education
in: Coders' Corner
Tags: HCC
note: no comments

by Rose T. Dunn, MBA, RHIA, CPA, FACHE Are you surprised by the denials and audits your organization is experiencing? We shouldn’t be surprised but monitoring everything is tedious and time-consuming. Who has excess staff to do it all? Often we get caught up with all the day-to-day distractions that we forego the opportunity to […]

Hierarchical Condition Categories Driving Demand for Accurate Coding

10 April 2018
by: Libman Education
in: Coders' Corner
Tags: HCC, ICD-10-CM
note: no comments

by Rose T. Dunn, MBA, RHIA, CPA, FACHE Even though the Hierarchical Condition Categories (HCCs) have been around since 2004, the interest in this categorization methodology by coding professionals is relatively recent. Used by Medicare Advantage, Medicaid, and risk sharing programs, HCCs serve as the basis of defining the complexity of the mix of patients […]