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?
Value-based payment models are attracting attention for risk adjustment methodologies, especially HCC risk adjustment, which is used to calculate cost benchmarks for Medicare Advantage and other CMS payment models including […]
HCCs are not new, but many organizations are only starting to recognize their importance. 3M’s Donna Smith dives into how to manage HCCs in her new article.
In the past, I’ve written several blogs about the complexity of E/M coding and how to find your way through. The first step is to establish the place of service, […]
Learn how to consistently capture the most complete and accurate HCCs and RAF scores for your patient population.
Shifting from volume-driven to value-based healthcare wouldn’t be so difficult if value meant just one thing. But every payer and value-based program defines value to suit its own purposes—on good […]