Coding for hypertension in the HCC system often requires additional codes to specify type of hypertension, and other complications or factors. This … [Read more...]
Coding for depression in the HCC system | Cheatsheet
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...]
Coding for diabetes in the HCC system | Cheatsheet
For medical practices who are part of an ACO, MSSP, or other Alternative Payment Model, understanding how to code accurately is critical to making the … [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...]
Diabetes coding in Hierarchical Condition Coding (HCC)
Introduction | Diabetes coding in HCC In fee-for-service medicine: Diagnosis coding establishes medical necessity, and may be the reason for a … [Read more...]
Depression coding in Hierarchical Condition Coding (HCC)
Introduction | Depression coding in HCC In fee-for-service medicine: Diagnosis coding establishes medical necessity, and may be the reason for a … [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...]
Compliance issues in ICD-10 coding for risk based contracts and HCCs
Everyone loves to read the general guidelines at the front of the ICD-10 book, right? No? Well, here’s an excerpt. “Code all documented conditions, … [Read more...]
HCCs in Medical Practices | Risk Diagnosis Coding
What are HCCs and why do I need to know about them? Hierarchical Condition Category (HCC) is a coding system developed by Medicare to pay Medicare … [Read more...]
HCC diagnosis coding: what medical practices need to know about risk adjusted diagnosis coding
Recorded December 14, 2017 Risk coding is all the rage! Are you up-to-date? In fee-for-service medicine, physician services are paid based on … [Read more...]
Coding Guide – Risk Adjusted Diagnosis Coding for Medical Practices
Risk Adjusted Diagnosis Coding Payment systems and reimbursements are ever-changing in healthcare and the rules of yesterday may or may not work … [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...]
Compliance Issues in HCC | Risk-adjusted diagnosis coding
Lunch and Learn This is the second video in this series which reviews HCC diagnosis coding. The first video was the an overview, so if you didn't … [Read more...]
Overview of HCCs | Risk-adjusted diagnosis coding
Lunch and Learn How do we get paid for physician services in medical practices? Watch this 10 minute video and download the handouts below for an … [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...]
Diagnosis Coding: It’s not just for claims anymore
What to Know About HCC Codes, Medicare Risk Adjustment and HCC Coding Guidelines Getting ready for risk-adjusted diagnosis and alternate payment … [Read more...]