"Modifying the HCC model is not a simple technical update or revision," the AMGA says. CMS recently released proposed changes to the CMS-HCC Risk Adjustment Model for payment year 2024 in February, ...
Accurate risk adjustment isn’t just a box to check; it’s now a strategic lever. Hierarchical Condition Category (HCC) coding underpins risk scores that drive Medicare Advantage and other value-based ...
The medical coding landscape is evolving rapidly due to increased regulatory complexities, the adoption of ICD-11, and AI-driven automation. Healthcare providers demand coders who are not only ...
RxHCC revenue represents real money, and the gap between what you're capturing and what you could be capturing is probably ...
The end-to-end solution enables payers and providers to run patient risk adjustment programs in-house, lowering costs and improving accuracy LEWES, Del., April 22, 2025 (GLOBE NEWSWIRE) -- John Snow ...
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 paramount ...
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