5 ways of Improving HCC Coding Accuracy & Risk Adjustment Solution with Analytics
The Centers for Medicare & Medicaid Services (CMS) is part of the Department of Health and Human Services (HHS) that employs the Hierarchical Condition Category (HCC) risk adjustment method to predict Medicare Advantage beneficiaries' costs. The outcomes have a direct influence on the payment healthcare organizations receive. Healthcare organizations that improve their electronic medical records, data, algorithms, and provider training can improve care documentation for patients with chronic diseases. It results in accurate HCC risk adjustment coding and more effective remuneration for better outcomes. Coding a correct Risk Adjustment Factor (RAF) score has a direct influence on Medicare beneficiaries' premiums for the