Risk adjustment coding | VBCExhibitHall Library

Understanding the Impact of Accurate HCC Coding on Medicare Risk Adjustment

December 12, 2024Garrett SchmittCoding, HCC, Risk adjustment coding

In today’s complex healthcare system, the importance of accurate coding cannot be overstated, especially regarding Hierarchical Condition Categories (HCC) coding and Medicare risk adjustment. These components are vital in ensuring that healthcare providers are adequately reimbursed while complying with regulatory requirements. For organizations that handle Medicare Advantage patients, understanding and implementing accurate HCC coding practices…

RECORDED WEBINAR: Risk Adjustment Coding & Its Impact on ACO Performance

September 25, 2018Garrett SchmittNo CommentsACO, ACOs, Coding, Continuum Health, Downside Risk, Risk adjustment coding, Risk coding, risk management, Webinar, webinars

Download Slides Each year, CMS sets cost benchmarks for every Medicare member based on the patients’ demographics and diagnoses during the assessment period. But what if the physician didn’t report their patients’ diagnoses accurately or specifically? The result is often benchmarks that are set appropriately low based on the information provided by the physician, and…