This episode continues the discussion on Hierarchical Condition Categories, or HCCs, examining the impact of HCCs on reimbursement, approaches to risk-adjustment and changes in payment policies.
Guest speaker:
Angela Hunt, RN, MBA, CCDS
Principal
Operations and Quality
Vizient
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Principal
Clinical Operations and Quality
Vizient
Show Notes:
[00:43] RAF scores defined
[01:22] Importance of RAF scores for reimbursement
[03:40] Importance of understanding HCCs and their documentation
[04:07] Risk adjusting patients
[06:07] Payment structures in commercial policies
[06:49] Approach and input from the Vizient team – focus on documentation
[07:59] The future of HCCs and documentation
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Angela Hunt’s contact email: angela.hunt@vizientinc.com
Hierarchical Condition Categories Coding (AAFP) Click here
HCC Fact Sheet (Vizient) Click here
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