For example, CMS calculates predictive ratios by decile of predicted spending, groups of HCCs, and count of HCCs, among other categories. We calculated predictive ratios by decile of ACO average ...

Inaccurate HCC coding can lead to significant financial implications and variability in Risk Adjustment Factor scores. A new infographic released by PYA illustrates why coding accuracy is ...

Use peer-to-peer support and education to ensure providers understand how accurate HCC coding and documentation can improve care funding and care quality.

Accurate HCC coding is critical for patient risk adjustment, as it directly impacts reimbursement models and financial sustainability in value-based care. However, studies indicate that as many as ...

KEY TAKEAWAYS CMS proposed coding changes that include the removal of more than 2,000 codes from the HCC model. This change means that more specificity in code assignment will be required in a ...

LEWES, Del., April 22, 2025 (GLOBE NEWSWIRE) -- John Snow Labs, the AI for healthcare company, today announced its new end-to-end Hierarchical Condition Category (HCC) coding engine designed to ...