HCC Coding FAQs

HCC Coding FAQs

Hierarchical Condition Categories and How They Affect Reimbursement Hierarchical Condition Category coding — or HCC coding — was implemented by the Centers for Medicare and Medicaid Services (CMS) in 2004 to help estimate the healthcare costs of Medicare enrollees in...
Risk Adjustment FAQs

Risk Adjustment FAQs

What Is Risk Adjustment? Risk adjustment is an annual process that is used to appropriately compensate health plans for the costs associated with taking on members with chronic health conditions. With risk adjustment, if your health plan serves a higher than average...
Five Revenue Cycle Management Resolutions for 2021

Five Revenue Cycle Management Resolutions for 2021

A clean slate. A fresh start. A new beginning. Whatever phrase you use, it’s that time of the year when everyone makes resolutions to eat better, be better, and live better. Similarly, for healthcare organizations, it’s a time to recalibrate and reset—to pivot and...
Turning Financial Crisis Into ‘Opportunity’ Using A Clinically-Integrated Revenue Cycle

Turning Financial Crisis Into ‘Opportunity’ Using A Clinically-Integrated Revenue Cycle

Winston Churchill once said, ‘Never let a good crisis go to waste.’ It’s the idea that even in the most challenging of times, there are lessons to learn and perhaps even opportunities to seize. COVID-19 is truly a crisis of monumental proportions. The statistics are...
X