10-11-2017, 06:56 AM | Community Wiki

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What does HCC stand for?

  1. #1
    Default What does HCC stand for?
    Exam Training Packages
    I think it's a medicare abreviation.

  2. Default
    It stands for Hierarchical Condition Categories.

  3. #3
    Default
    ok, but what is that?

  4. #4
    Default
    Medicare has classified about 3,000 of the 14,000 ICD-9 diagnosis codes into HCCs or categories designating chronic conditions that end up costing them more money over the long run, such as diabetes, kidney failure, old MI, etc. When patients are assigned these ICD-9 codes, Medicare sees those beneficiaries as being more severely ill than the "average" Medicare beneficiary. For the Medicare Advantage members, this could result in higher reimbursement. There is lots of info on the CMS website if you search "HCC". Here is one document (very large document):
    http://www.cms.hhs.gov/HealthCareFin...ummerpg119.pdf
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I, AAPC Fellow
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

  5. #5
    Default
    More HCC info (love that Google search!):
    http://www.iceforhealth.org/library/...,Documentation Basics:
    http://www.hccblog.com/files/HCC_Codes.pdf

    HCC Blog is a good website for info. We are doing HCC coding and it's helped explain a lot. http://www.hccblog.com/
    They've got some good explanatory videos.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I, AAPC Fellow
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

  6. #6
    Default Thanks
    Thank you the websites explained everything.

  7. Default
    What does the RHCC stand for???

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