Go Back   AAPC Medical Coding & Billing Forums > Employment > General Discussion
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 09-17-2008, 03:04 PM
deja53 deja53 is offline
Contributor
 
Join Date: Apr 2007
Posts: 22
deja53 is on a distinguished road
Default HCC coding

I need feedback on HCC coding. Is it easier than straight ICD-9 coding? Is HCC coding more time consuming than straight ICD-9 coding? Is there somewhere I could get a list of the HCC codes?


Thanks,
Tammy
Reply With Quote
  #2  
Old 09-17-2008, 04:30 PM
pamtienter pamtienter is offline
Expert
 
Join Date: Apr 2007
Location: Minneapolis
Posts: 316
pamtienter is on a distinguished road
Default

Hi Tammy, From what I understand, HCC coding is about being as specific as possible when choosing ICD-9 codes (as we should be anyway but sometimes charges aren't reviewed before going out) because the HCC ranking assigned to the codes is a severity ranking. That also means the providers have to be as specific as they can about the diagnoses they see the patient for. CMS has information on their website (CMS Home>Medicare>Medicare Advantage -Rates & Statistics>Risk Adjustment) and there are some videos and other information on www.hccblog.com.
Pam, CPC, CPC-P
Reply With Quote
  #3  
Old 09-17-2008, 05:41 PM
sherryjean27 sherryjean27 is offline
Networker
 
Join Date: Apr 2007
Posts: 60
sherryjean27 is on a distinguished road
Default

Tammy,

HCC coding you are only capturing the most severe dx's. There are only only 3,000 some icd-9 codes that have an hcc for them. You code it, look up the hcc that matches the code. If you don't see the code in the hcc manual, then the dx does not fall under an hcc, therefore you don't code it. This is for regular hcc coding. (Now they have RX hcc's which is different.)
Reply With Quote
  #4  
Old 10-17-2008, 01:20 PM
pamtienter pamtienter is offline
Expert
 
Join Date: Apr 2007
Location: Minneapolis
Posts: 316
pamtienter is on a distinguished road
Default

I would still code applicable codes even if they didn't have an HCC value so it tells the complete story of why the patient was in. You definitely need to make sure that you do code ones that have an HCC value. Providers need to be educated to document all problems that come into play with a particular visit so those HCC codes can be used.
__________________
Pam Tienter, CPC, CPC-H, CPC-P, CCS-P, CPMA, CPC-I
Reply With Quote
  #5  
Old 10-17-2008, 01:44 PM
ajudd ajudd is offline
Networker
 
Join Date: Apr 2007
Location: Rochester NY
Posts: 66
ajudd is an unknown quantity at this point
Default

my job is working with HCC's. It is about coding as specific as possible.

HCC's ( Hiererchial condition categories) were designed to assign scores to health carriers members' based on their degree of sickness.
I'm not sure if I can get into the specifics of it - the nitty gritty - but know that CMS using the HCC model makes for a more accurate prediction of health care/medical costs.

One should always code to the highest level of specificty anyway, and always code on the claim all the conditions a patient was treated for in an encounter. If a patient comes in for a sore knee but they also review the blood sugars with the PCP because they have diabetes, it is very appropriate to code for BOTH the knee issue and the DM - provided, that is, that it is documented in the chart.

Remember the golden rule : if it's not documented, it didn't happen!!!
__________________
A. Judd

2013 President, Flower City Professional Coders
2012 Vice President, Flower City Coders local Chapter
2011 Member Development Officer, local chapter

"You cannot truly listen to anyone and do anything else at the same time." M. Scott Peck
Reply With Quote
  #6  
Old 10-18-2008, 10:44 AM
sunshinegirl sunshinegirl is offline
Contributor
 
Join Date: Apr 2007
Posts: 14
sunshinegirl is on a distinguished road
Default

Is there a book or website other than the hccblog that I can use as reference? I just got a job and I am to be doing hcc coding.
I appreciate all your help!
Reply With Quote
  #7  
Old 10-20-2008, 07:16 AM
Icode4U Icode4U is offline
Networker
 
Join Date: Apr 2007
Posts: 59
Icode4U is on a distinguished road
Default Hcc

CMS website. HCC is a CMS program
Reply With Quote
  #8  
Old 10-20-2008, 01:17 PM
em2177 em2177 is offline
Guru
 
Join Date: Apr 2007
Location: San Gabriel Valley,CA
Posts: 207
em2177 is on a distinguished road
Default HCC Coding

I have used the following websites to research on HCC coding. I just finished a couple of projects dealing with HCC coding. I did audits for various Doctors and found some useful tools on these sites.
Hope you find them helpful as well....
__________________
Elizabeth M., CPC, CCS, ICD 10 Certified
Reply With Quote
  #9  
Old 10-20-2008, 01:20 PM
em2177 em2177 is offline
Guru
 
Join Date: Apr 2007
Location: San Gabriel Valley,CA
Posts: 207
em2177 is on a distinguished road
Default HCC Coding

Here are the sites: www.hccblog.com, www.cms.hhs.gov, www.hccuniversity.com
__________________
Elizabeth M., CPC, CCS, ICD 10 Certified
Reply With Quote
  #10  
Old 02-05-2010, 05:51 AM
nithya nithya is offline
New
 
Join Date: Apr 2007
Posts: 1
nithya is on a distinguished road
Question HCC coding

Would you please explain me what is exactly HCC coding.And the difference between part I and part II.
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 06:15 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC