10-11-2017, 05:56 AM | Community Wiki

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What does HCC stand for?

  1. #1
    Default What does HCC stand for?
    Medical Coding Books
    I think it's a medicare abreviation.

  2. Default
    It stands for Hierarchical Condition Categories.

  3. #3
    ok, but what is that?

  4. #4
    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):
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I
    National Advisory Board Member 2018-2021, Region 6 Great Lakes

  5. #5
    More HCC info (love that Google search!):
    http://www.iceforhealth.org/library/...,Documentation Basics:

    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
    National Advisory Board Member 2018-2021, Region 6 Great Lakes

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

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

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