Hierarchical Condition Category (HCC) Coding – What Providers Need to Know in 2023

Quick Links:
Registration

Join us to learn what Hierarchical Condition Category (HCC) Coding is and why it is important to FQHCs. This webinar includes 2023 diagnosis coding updates and tips, an HCC Coding overview, and simple provider coding strategies for capturing the complexity of your patients for accurate value-based payment computations.

Many insurances including Medicare Advantage Plans, and Medicaid Managed Care Plans, such as PCPlus, use risk stratification to assign patient risk scores and set capitation rates accordingly. Patient annual risk scores are formulated using diagnosis coding, age, gender, disability, and Medicaid eligibility. In this training, Susan Whittaker, CPC, CPMA, Training and Risk Management Program Manager at MPCA, will provide an understanding of the hierarchical condition diagnosis categories developed by the Centers for Medicare and Medicaid Services (CMS) for population risk management and what that means for reimbursement in the FQHC landscape. Susan will also delve deeper into how risk scoring is calculated and what providers need to know about diagnosis coding to accurately portray their patient’s disease burden for maximal reimbursement in value-based care.

Target Audience: Medical Providers, CEOs, CFOs, Coders and Billers.

For more information, please contact Megan Cross: mcross@mepca.org or (207) 707-5112.