Insight brief

A proactive approach to HCC management for better risk-adjusted reimbursement

Read time: 10 min

Summary

Accurate coding isn't a ‘nice-to-have' — it’s the foundation of successful value-based care. As Medicare Advantage enrollment climbs, precise hierarchical condition category (HCC) capture and diagnosis specificity are vital to reflect the complexity of patient conditions and secure appropriate risk-adjusted reimbursement. However, not all EHR diagnosis tools are built to record the optimal level of detail.

Download the brief to learn

  • The essential role of HCCs in risk-adjusted payment models and why precise, timely coding is non-negotiable
  • How problem list tooling integrated directly into the EHR benefits both payers and providers
  • How one Midwestern physician group significantly increased the average number of HCCs per patient, RAF values, and monthly risk bonuses

Who It's For

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