iQuartic Blog Challenges in HCC coding and documentation

Hierarchical Condition Category (HCC) is a risk adjustment model implemented by CMS in 2004 to estimate predicted costs for Medicare beneficiaries based on disease and demographic risk factors, leading to increased payments for high-risk patients. Inaccurate reporting of HCC chronic conditions and their associated HCC codes may lead to significant loss of revenue opportunities. Current challenges and opportunities Provider organizations ... Read More