Risk Adjustment and HCC Coding
How Medicare Advantage and ACA plans are paid based on members' health status, how HCC models work, and why documentation matters.
Risk Adjustment and HCC Coding
Coming soon. This post is a placeholder in the US Healthcare learning path. The outline below is what it will cover.
What this post will cover
- What risk adjustment is for
- Hierarchical condition categories (HCCs) and risk scores
- The CMS-HCC model and its versions
- Encounter data and diagnosis capture
- Risk adjustment data validation (RADV) audits
Where this fits
Level 4 · Health tech engineering & strategy › Value-based care and analytics
This post is licensed under CC BY 4.0 by the author.