Everyone loves to read the general guidelines at the front of the ICD-10 book, right? No? Well, here’s an important excerpt. “Code all documented … [Read more...]
Search Results for: risk hcc
HCC coding: V24 versus V28
Medical practices are assessing the impact of the change in the HCC model from V24 to V28, a phased in change that begins in 2024. CMS pays … [Read more...]
HCC Transition from V24 to V28 | Webinar
HCC Transition from V24 to V28 Recorded July 20, 2023 CMS is transitioning risk coding from the 2020 V24 model to V28 beginning in 2024. … [Read more...]
HCC diagnosis coding example: diabetes, hypertension, chronic kidney disease
If a picture is worth 1000 words, what’s an example worth? An example can show in a glance what it takes paragraphs to write and explain. The one … [Read more...]
HCC Coding for Medical Practices | Webinar
HCC Coding for Medical Practices Recorded April 15, 2021Â The rules related to HCC coding in physician practices are found in the ICD-10 book … [Read more...]
Coding for hypertension in the HCC system | Reference Sheet
The code for hypertension was the first ICD-10-CM code I memorized, the year we all switched gears and learned the new system. This table lists the … [Read more...]
Coding for diabetes in the HCC system | Reference Sheet
For medical practices who are part of an ACO, MSSP, or other Alternative Payment Model, understanding how to code accurately is critical to reporting … [Read more...]
Coding for depression in the HCC system | Reference Sheet
Do you have questions about coding for depression in the HCC system? HCC diagnosis coding for depression can be confusing. This quick reference … [Read more...]
The CodingIntel Guide to HCC Coding
Hierarchical Condition Categories (HCC) is a coding system developed by Medicare to pay Medicare Advantage insurance companies, based on demographics … [Read more...]
Five urban legends about risk-adjusted diagnosis coding
Originally published on kevinmd.com When I talk to medical practices about Hierarchical Condition Category (HCCs) and risk-adjusted diagnosis … [Read more...]
HCC’s in brief | The difference between CMS-HCC and HHS-HCC
Demographics and diagnoses Risk adjusted diagnosis coding is a model used to predict future health care costs based on demographics and diagnoses. It … [Read more...]
Changes in HCC diagnosis coding from V22 to V23: what you need to know
CMS pays Medicare Advantage plans differentially based on Hierarchical Condition Category (HCCs). This coding model uses demographics and diagnoses … [Read more...]
How to improve the accuracy of your diagnosis risk scores | Dr. Edwin Knights
This reference is the companion resource for the webinar I presented in June with Edwin Knights, M.D., Improving the accuracy of your diagnosis risk … [Read more...]
Improving the accuracy of your diagnosis risk scores | Webinar
Recorded June 6, 2018 This content is no longer current. Presented by Betsy Nicoletti with guest speaker Edwin Knights, MD Edwin Knights, … [Read more...]
Diabetes coding in Hierarchical Condition Coding (HCC)
Diabetes is a common chronic condition, included in three distinct HCC categories Patients often have more than one chronic condition of the … [Read more...]
Depression coding and Hierarchical Condition Coding (HCC)
Introduction | Depression coding in HCC In fee-for-service medicine: Diagnosis coding establishes the medical necessity for a service. At times, … [Read more...]
HCC coding: round up of chronic conditions
I saw on twitter recently that COPD was the third leading cause of death in the U.S. If it was on twitter, it must be true, right? This article … [Read more...]
Risk Coding for Medical Practices and Outpatient Services
Introduction to Risk Coding for Medical Practices and Outpatient Services Where do we find the rules for assigning diagnosis codes in medical … [Read more...]
Coding Guide – Risk Adjusted Diagnosis Coding for Medical Practices
Payment systems and reimbursement are ever-changing in healthcare and the rules of yesterday may or may not work tomorrow. Medical practices continue … [Read more...]
HCC diagnosis coding: Can you add a code from the past medical history?
This post describes rules for office/outpatient coding, not facility/DRG rules. Recently a fellow coder wrote to me about risk adjusted diagnosis … [Read more...]
HCC Coding
Introduction | HCC and Risk Adjusted Diagnosis Coding Payers are moving to new payment models that take into consideration how sick your patient … [Read more...]