To effectively document the severity of patient conditions and use risk stratification, the Community Health Network (CHN) in Indiana has streamlined hierarchical condition category (HCC) coding to ...

As payment models change, diagnosis coding is more important than ever. Here's how to be sure your codes capture your patients' severity of illness. As family physicians and their employers enter into ...

Claims data, which form the foundation of risk adjustment in payment for health care services, may reflect efforts to capture more—or more severe—clinical conditions rather than true changes in health ...

To facilitate full and accurate Hierarchical Condition Category (HCC) coding, it is crucial that providers take a disciplined approach to documenting medical encounters in patient records. The AAPC ...

Review Proposed Changes for Medicare Advantage Plans in 2024 Discuss the change from Version 24 to Version 28 and the impact on Risk Adjustment Calculation Methodology Explain how Fee-for-Service will ...