Tag Archives: HCC capture

Midwest health plan recovered over $5K per ACA member after a pilot of MedKoder’s Risk Adjustment Management Technology Health plans and health systems are financially dependent upon the specific documentation of each individual patient’s diagnoses as classified within the highly specific CMS Hierarchical Condition Category (HCC) system and the management of those conditions. Failure to […]

June 8, 2017 Chart reviews can be useful in uncovering common documentation errors that impact both Medicare Advantage payments and potentially patient care. However, many healthcare organizations across the country are getting penalized by the Centers for Medicare and Medicaid Services (CMS) based on the medical record data they are submitting, due to inaccurate/missing HCCs or risk adjustment […]