Organizations capture hierarchical condition category services (HCCs) by documenting and coding a patient’s diagnoses across all care settings for an entire year. HCC methodology groups each chronic disease or injury into a category that predicts future care needs and determines each patient’s risk adjustment factor (RAF) score. Payers use demographic information as well as diagnoses from inpatient, outpatient and physician practice encounters to calculate risk scores.
Your organization’s success with risk adjustment depends on your ability to ensure accurate and complete documentation and coding. HCCs can be complex to capture, but accurate and compliant documentation has many benefits when it comes to appropriate risk-adjustment calculation.
If not, it may be time to consider a comprehensive HCC solution.
Want to know more? Check out what our clients and 3M experts have to say.
3M HCC Service aim to help educate organizations on HCC methodology to ensure documentation and coding compliance while identifying areas for improvement and ensuring you can create an HCC program that provides accurate chronic disease capture.
Given the growing proportion of direct revenue from outpatient services, this medical center knew it was time to address outpatient CDI. The organization called on 3M for help.
Learn more about the importance of HCCs and explore what success looks like in value-based reimbursement.
Learn more about issues many health care organizations have regarding managing HCCs and how the organizations improve quality and accuracy of care when HCCs are effectively managed.
More and more Health Information Management (HIM) professionals and CDI specialists are reviewing patient records for HCC diagnoses. The history, the hierarchies and the importance of HCC diagnosis capture deserves a refresher.
Learn how CDI teams at Trinity Health use tools to move beyond the capture of Diagnosis Related Groups (DRGs) to the more complete patient story provided by HCCs.
3M services and solutions can help organizations go beyond simplifying their workflows and improving coding accuracy.
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