As healthcare payments shift to value-based reimbursement (VBR) models, accurate hierarchical condition categories (HCCs) can improve performance and optimize patient care.
Patient Insights helps physicians, revenue cycle managers, and care coordinators and managers capture more complete HCC information in documentation and claims. Improved HCC capture gives health systems a competitive advantage in the new world of value-based payment.
HCCs determine financial benchmarks in many value-based payment models, such as:
Some Medicaid agencies and commercial payers use HCCs in contract negotiations when determining the risk of a population treated by a hospital or health system.
HCCs are calculated for a patient over an extended period of time, across all healthcare channels: inpatient, outpatient and clinics. It ensures all relevant conditions are treated, evaluated or managed, documented, coded and billed annually in at least one type of care setting.
3M 360 Encompass Patient Insights Suite improves care coordination by:
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