HCC Coding and Its Impact on your Revenue
Deep knowledge of ICD-10 coding and documentation guidelines is essential for accurate HCC coding. Failure to report status codes has negative consequences in risk-adjusted diagnosis coding. Most chronic conditions map to an HCC - but only when supported by complete, specific documentation. Practices that don't report status codes, suffer negative consequences in risk-adjusted diagnosis coding.
Version 28 made significant changes to the risk adjustment model used in the Medicare Advantage reimbursement system. Risk scores and HCC coding have a financial impact on healthcare providers. HCC coding quality is possible when your team learns how to foster and sustain HCC coding quality to ensure regulatory compliance and prevent fraud and abuse.
PMI Instructors will walk your medical coders through specific condition examples to illustrate the assignment of HCC codes, and calculate an RAF score to get your revenue cycle back on track!
Highlights:
• Identifying and assign HCC codes to specific conditions
• Calculating the RAF score
• Improving documentation to replace unspecified codes with more specific diagnosis codes
• M.E.A.T. criteria explained
• Find missed opportunities that may positively impact your revenue cycle
