Happy New Year everyone! I am terrible at New Year’s resolutions, but I did make one this year that I hope to stick to: I want to increase my intake […]
In my previous blog, I took a hard look at the impact of mental health and substance abuse on hospital readmissions, especially the torrent of patients with these issues coming […]
A hot topic in health care today is Hierarchical Condition Categories (HCCs). At the last local AAPC chapter meeting I attended, we had a guest speaker who discussed HCCs in […]
HCCs are a “problem.” By that I mean no organization can ignore the impact of HCCs. No CDI specialist, HIM professional, quality specialist, provider or billing auditor can remain uneducated […]
The Official ICD Coding Guidelines state that a condition must be present at the time of the encounter, affect patient care or management and be clearly documented in order to […]
On December 27, 2017, CMS published Part 1 of this year’s Medicare Advantage (MA) Advance Notice highlighting proposed changes in MA payments for 2019. CMS requires comments on this Part […]
Hierarchical Condition Categories (HCCs) have been the underlying risk adjustment for many Medicare programs for several years. But they didn’t attract wide interest until CMS began shifting more payment toward […]
Thanks for reading the Inside Angle blog in 2017! As 2018 approaches, revisit some of our most popular blogs of the year: 1. HCCs: A frequent factor in the value […]
This article details how coders can enhance their careers by becoming proficient in the finer points of the latest payment methodologies.
As a physician, I am responsible for coding certain diagnoses that will trigger certain payment and risk adjustment. Risk adjustment scores are important in terms of quality measures and they […]
3M research conducted by HIMSS Analytics sought to understand how organizations manage data in support of value-based payment models based on HCCs.
When it comes to HCCs, what are the biggest challenges and how can hospitals address them?