Attend this 60-minute webinar to better prepare for the challenges of risk-adjusted coding in value-based care.
Currently, many physicians and practice staff don’t fully understand what risk-adjusted coding is and how it is aligned with value-based care. A hierarchical condition category (HCC) is a risk-adjustment model used to calculate risk scores to predict future health care costs.
Risk adjustment is a process for health insurance plans, such as those offered through Medicare Advantage or the Affordable Care Act, to be compensated based on underlying health conditions of enrollees. As practices take on greater involvement in value-based care and risk-adjusted payment models, it becomes increasingly important to understand HCC coding, its application and nuances.
Objectives: This presentation will address the following content:
- An introduction to hierarchical condition categories and risk adjustment.
- The differences between fee-for-service coding vs. HCC coding.
- Hierarchical condition category coding concepts and risk-adjustment factors.
- The importance of provider documentation and its impact on reimbursement.
Presenter: Michelle M. Lott, CPC, CPMA is WSMA associate director of health care economics and practice support. Michelle provides guidance and training on CPT and ICD coding issues via practice management seminars and the WSMA Physician Practice Helpline.