A Detailed Guide On HCC Coding
In 2004, the Centres for Medicare and Medicaid Services (CMS) launched the Hierarchical Condition Category (HCC) code set. While approaching its 20th anniversary, HCC coding is becoming more common as healthcare shifts to value-based payment models, a change that has been actively pursued over the last decade. HCC, as it is colloquially known, was created to estimate and possibly predict a patient's healthcare costs over the course of his or her life. It requires a long-term perspective on multiple conditions, factors, and determinants that may affect their individual prognosis over many months or years. HCC codes are directly related to ICD-10 codes - approximately 10,000 ICD-10 diagnosis codes out of 70,000 diagnoses are directly related to at least one of the 86 HCCs. HCC coefficients vary depending on the patient category. The HCC set assigns risk scores to patients based on demographic factors such as age and gender. There are lot more things to know about the HCC Co...