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...
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