Hierarchical Condition Category Coding - AAPC
Hierarchical Condition Category (HCC) is a term that describes the grouping of similar diagnoses into one related category to be used in a risk adjustment model
The Critical Role of HCC Coding - AAPC Knowledge Center
Sep 2, 2025 · Accurate HCC coding is essential for fair reimbursement, compliance, and quality patient care. Avoiding errors, leveraging technology, and staying updated on regulations ensure precise risk …
Realize the Value of HCC Coding - AAPC Knowledge Center
Apr 1, 2019 · HCC Coding Basics HCC is a risk adjustment model used by the Centers for Medicare & Medicaid Services (CMS) for Medicare Advantage (Part C) contract rates. Risk adjustment is a …
Implementing an effective HCC coding system - AAPC
Implementing an effective HCC coding system is essential to strong financial and clinical performance under value-based reimbursement contracts.
Risk Adjustment Search Tool - AAPC
Risk Adjustment Search Tool Use the Risk Adjustment Search Tool to quickly find a hierarchical condition category (HCC) assignment. Enter the ICD-10-CM code or the diagnosis for results in three …
Make the Most of HCCs: Part 1 - AAPC Knowledge Center
Dec 1, 2015 · HCC 18 in Medicare 2014 CMS HCC Model Category Diabetes is one of the most frequently under-coded conditions in risk adjustment. Many providers default to diabetes without …
Understanding the HHS-HCC Risk Adjustment Model - AAPC
Dec 10, 2015 · The HHS-HCC risk adjustment model is a concurrent model, which means it uses diagnoses from a time period to predict cost in that same period. All data reporting for the HHS …
CDIP, MCC, CC, HCC: The Road to Better Revenue - AAPC
Jan 1, 2010 · Much like hierarchical condition category (HCC) coding for payers (see “Validate Coding Data with CDIPs in Medicare Risk Adjustment,” Coding Edge, August 2009, pages 20-23), the …
The Risky Business of Coding CKD and ESRD - AAPC
Nov 1, 2023 · This, in turn, ensures accurate hierarchical condition category (HCC) coding and proper risk adjustment, thereby protecting the outcomes of the patient, the provider, and the payer.
Educate New Providers to Make the Most of HCCs - AAPC
Sep 1, 2017 · An educational program for new physicians can provide the tools needed for them to confidently capture HCC codes and ensure a high level of compliance.