HCC Coding: 7 Things The Most Successful Medical Groups Have In Common

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HCC Coding 7 Things The Most Successful Medical
Groups Have In Common  

• Understanding HCC coding has become critical for
  healthcare organizations to succeed in new
  payment models as we transition to value-based
  care. As a reminder, HCC coding enables providers
  and billing/coding teams to account for future
  health risks and costs at the patient level.
  Thereby, HCC accuracy impacts program success,
  especially for innovative programs such as
  Primary Care First.

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Following strategies to improve the HCC coding
performance

• Adhere to the M.E.A.T. Criteria
• Monitor  signs, symptoms, disease
  progression, and disease regression.
• Evaluate  test results, medication
  effectiveness, and treatment response
• Assess  Ordering tests, discussion,
  reviewing records, and counseling
• Treatment Medication, therapies, and other
  treatment options
• Provider Education
• As HCC coding is a new concept far from
  intuitive, educating clinicians along the way is
  critical. The most crucial
  educational point to emphasize to providers is
  the importance of accuracy, not the score
  itself. The providers can be taught about the
  clinical and monetary value of specificity.

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• Improve Decision Support with EMR Optimization
• Although provider education is necessary to
  improve HCC coding accuracy, it is also critical
  to incorporate appropriate coding into the daily
  encounter workflow. Some potential strategies
  include ACO identifiers in the EMR,
  decision-support tools that can be activated for
  specific populations, and HCC diagnosis alerts
  for past codes.
• Preparation of an Accurate Problem List
• To ensure an accurate problem list, remove
  duplicate and inactive diagnoses, identify
  critical areas with discrete data in the EMR, and
  prioritize results using a diagnosis preference
  list that includes HCC suffix codes and RAF
  values.

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• Tracking Performance
• Use Coding Experts
• Prepare for Each Patient Visit
• Best Strategy Outsourcing Medical Billing
  Coding!
• Partnering with an experienced medical billing
  and coding company is the best way for physician
  practices to stay updated on changes in CMSs
  risk adjustment model, ICD codes, HCC coding and
  crosswalks, and audit procedures. Click to know
  more..

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