Webinar: HCC Coding Updates

Quick Links:
Registration

Join us to learn about the CMS-HCC (hierarchical condition category) Risk Adjustment Strategy that will be implemented in 2025. In this webinar, we will talk about the blending of old Version 24 and the new Version 28. We will review provider diagnosis coding strategies and include updates to ICD-10 for 2025. This is a don’t miss event for financial leadership, providers, and coding staff.

In this event, we will deep dive into how risk scoring is calculated, following the path from the encounter to claims to a patient’s risk score using CMS-HCC Coding methodology. We will discuss the medical record documentation necessary to support thorough diagnosis coding and when that has failed, what violations were unearthed by the Office of the Inspector General (OIG). Lastly, we will discuss the basics of an HCC Coding Audit Plan to offer providers the support they need.

Key Learning Objectives:

• Understand the definition of Hierarchical Condition Category (HCC) coding and recognize its importance to reimbursement.
• Learn the 2025 changes to CMS-HCC methodology.
• Explore HCC Coding and Risk Adjustment violations and how they are directly impacted by provider documentation.
• Learn provider diagnosis coding strategies.
• Identify the need for an HCC Auditing Plan.

Target Audience: CEOs, financial leadership, providers, and coding & billing staff.

For more information, contact Susan Whittaker: swhittaker@mepca.org or (207) 707-4538.