Accurate risk adjustment isn’t just a box to check; it’s now a strategic lever. Hierarchical Condition Category (HCC) coding underpins risk scores that drive Medicare Advantage and other value-based ...

Geisinger Health Plan of Pennsylvania has implemented a new application to help professional risk adjustment coders uncover missed Hierarchical Condition Category codes in member charts. The ...

This interdisciplinary team will be positioned to identify and address concerns and act quickly to implement education and policy updates. Q: We're looking for ways to bring our CDI and coding teams ...

To facilitate full and accurate Hierarchical Condition Category (HCC) coding, it is crucial that providers take a disciplined approach to documenting medical encounters in patient records. The AAPC ...

Artificial intelligence (AI)-enabled tools such as natural language processing (NLP) have been integrated into a wide range of applications, including risk adjustment coding tools, for greater ...

The following is a guest post from Rodrigo Martinez, MD, Senior Vice President, Consulting at Advisory Board Company. As the shift toward value-based care and risk-based contracting progresses, it ...

Coding specificity, education, and CMS monitoring are key for capturing Hierarchical Condition Categories. This article was originally published June 27, 2018, on HCPro's Revenue Cycle Advisor.

Two years ago, I would have told you that autonomous AI coding was too risky for risk adjustment. Today, I'm implementing it—but only after finding an approach that met my compliance requirements.