This episode continues the discussion on Hierarchical Condition Categories, or HCCs, examining the impact of HCCs on reimbursement, approaches to risk-adjustment and changes in payment policies.

Guest speaker:

Angela Hunt, RN, MBA, CCDS

Principal

Operations and Quality

Vizient

Moderator:

Tomas Villanueva, DO, MBA, FACPE, SFHM

Principal

Clinical Operations and Quality

Vizient

Show Notes:

[00:43] RAF scores defined

[01:22] Importance of RAF scores for reimbursement

[03:40] Importance of understanding HCCs and their documentation

[04:07] Risk adjusting patients

[06:07] Payment structures in commercial policies

[06:49] Approach and input from the Vizient team – focus on documentation

[07:59] The future of HCCs and documentation

Links | Resources:

To contact Modern Practice: [email protected]

Angela Hunt’s contact email: [email protected]

Hierarchical Condition Categories Coding (AAFP) Click here

HCC Fact Sheet (Vizient) Click here

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