HCC Reference Guides

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Part Number:hcc-ref-guide

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Risk adjustment is rapidly becoming a hot topic for healthcare payers, policymakers, providers, and researchers. At the level of the patient encounter, risk adjustment manifests in the form of Hierarchical Condition Categories (HCCs), which assign risk scores to patients based on their diagnoses. This set of six risk adjustment tip sheets offer detailed guidance on diagnosis coding for five common chronic conditions (coronary artery disease, COPD, diabetes, heart failure, and hypertension). A six tip sheet provides an overview of how ICD-10-CM diagnosis codes relate to HCCs and risk scores. This tool is useful for all organizations that need to account for risk adjustment and capture HCC data.