Walking the Tightrope in HCC Coding

Dana Brown, MBA, RHIA, CHC, CCDS, CRC HCC/Risk Adjustment Leave a Comment

The “coding” for HCCs (Hierarchical Condition Categories) is not for the faint of heart. As an outsider or non-coder, looking in, it would appear to be so simple, BUT, It is not simple or easy. No one should do HCC coding without extensive documentation and coding training as well as HCC code capture training – and preferably this person should be a certified coding...

Project Management for Risk Adjustment Coding Review

Dott Campo, RHIA, CRC, COC HCC/Risk Adjustment Leave a Comment

Risk Adjustment coding reviews can take many different shapes and forms. When starting a new project/review, there are many things to consider. A “Project Management” approach is key to success. Project Management includes four phases: Project Planning Phase; Project Build-up Phase; Project Implementation Phase; and Project Completion & Closure Phase. In this article we...

HCC Coding Audits . . . A Must!

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS HCC/Risk Adjustment Leave a Comment

The words “Hierarchical Condition Categories” or HCCs can conquer up some anxiety for HIM Coding, and Clinical Documentation Integrity (CDI) professionals, even for Revenue Cycle and Compliance leadership. Add to that, the word “audit” and we now have uneasiness and even fear. Well, it does not need to be this way. Understanding the HCC basics and the coding audit ins and...

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