Deciphering HCC Risk Adjustment Models in A Nutshell
Introduction The Hierarchical Condition Category (HCC) risk adjustment model, initially introduced by CMS in 2004, serves as a pivotal method
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Introduction The Hierarchical Condition Category (HCC) risk adjustment model, initially introduced by CMS in 2004, serves as a pivotal method
Clinicians no doubt play a vital role in recording patients’ conditions using HCC codes, but they shouldn’t shoulder the challenging
Health plans, globally have begun to realize the pompous value of Prospective risk adjustment programs, and deservedly so. Prospective risk
CMS UNVEILS THE PROPOSED FINAL RULE FOR MEDICARE ADVANTAGE IMPACTING HEALTH PLANS, PROVIDERS & PATIENTS. The 724-page final rule was
The Department of Health & Human Services, on May 5, 2023, communicated to the Centers for Medicare & Medicaid Services
Healthcare providers today face the challenge of effectively managing chronic diseases, a task made more complex by evolving reimbursement models
The release of the 2024 Medicare Advantage Star Ratings marks a critical juncture for health plans participating in Medicare Advantage
Table of Content: Understanding the Revisions in HCC Codes The Impact on RAF Scores RAAPID’s Approach to the New HCC
The Centers for Medicare & Medicaid Services (CMS) recently unveiled a comprehensive CMS proposed rule for the 2025 Medicare Advantage