Population health management is the way of the future, and Hierarchical Conditions Categories (HCCs) is its methodology. HCCs drive appropriate and fair reimbursement and are utilized in certain quality metrics. Since HCCs can be captured in the office or hospital, inpatient or outpatient, it is crucial that all coders and clinical documentation integrity specialists (CDISs) be familiar with this complex model.
Moreover, as clinical documentation integrity initiatives around the HCC model are becoming more prevalent, healthcare facilities must be able to support clinical documentation integrity efforts in the age of risk adjustment.
This webcast, led by Dr. Erica Remer, will provide you and your team with a clear introduction to the concepts and conditions of the complex HCC model, concrete guidance as to how to encourage providers to document optimally for HCC capture and query to support CDI in the age of risk adjustment.
Why This is Relevant:
Clinical documentation integrity is crucial in the outpatient environment, as providers, provider organizations, and healthcare systems are being judged and ranked on their quality and value. Population health management demands risk-sharing and offers incentives for caring for sick and complex patients efficiently and cost-effectively. Since documentation determines the coding, and the codes determine the risk adjustment, the only way to demonstrate severity of illness and likelihood of resource utilization is through accurate, precise, and complete provider documentation.
- Explanation of risk adjustment methodology
- Accurately identifying conditions which are in HCCs
- How to increase specificity and linkage of documentation
- How to support HCC CDI
- When and how to query for HCCs
Who Should Attend:
Those who will gain the most value from this important webcast, include coders, CDISs, billers, and providers who must become familiar with the HCC model.