HCC Coding Audits . . . A Must!

The words “Hierarchical Condition Categories” or HCCs can conquer up some anxiety for HIM Coding, and Clinical Documentation Integrity (CDI) professionals, even for Revenue Cycle and Compliance leadership. Add to that, the word “audit” and we now have uneasiness and...

Project Management for Risk Adjustment Coding Review – Part 1

Risk Adjustment coding reviews can take many different shapes and forms.  When starting a new project/review, there are many things to consider.  A “Project Management” approach is key to success.  Project Management includes four phases:  Project Planning Phase;...

The Risk Adjustment Program – HCC Coding

Hierarchal Condition Category (HCC) coding plays an increasingly important role in today’s ever-changing world of insurance benefits and reimbursement.  With the creation of the Affordable Care Act (ACA), HCC code capture is no longer only for  Medicare Advantage...