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RISK ADJUSTMENT HCC CODINGPresented by: Debra JohnsonPhythian, CCSP, CRC, COMA AHIMA ICD10CM/PCS Trainer HIM Coding and Documentation Educator, Parkland Health and Hospital System Debra.johnsonphythian
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How to fill out risk adjustment hcc coding
How to fill out risk adjustment hcc coding
01
Gather all necessary documentation such as medical records, diagnostic tests, and patient history.
02
Identify the patient's conditions and record the relevant ICD-10 diagnosis codes.
03
Determine the severity of each condition and assign the appropriate HCC risk score.
04
Review the patient's medication list and include any relevant information in the coding process.
05
Ensure accurate documentation of all services provided and their corresponding codes.
06
Verify the completeness and correctness of the coding process.
07
Submit the coded information to the appropriate agencies or insurance companies.
08
Monitor and track the coding outcomes to adjust for any changes or updates.
Who needs risk adjustment hcc coding?
01
Healthcare providers
02
Health insurance companies
03
Clinical coders
04
Medical billers
05
Government agencies responsible for Medicare and Medicaid reimbursements
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What is risk adjustment hcc coding?
Risk adjustment HCC coding is a method used by Medicare to calculate payments to health insurance plans based on the predicted healthcare costs of their enrollees.
Who is required to file risk adjustment hcc coding?
Health insurance plans participating in Medicare Advantage are required to file risk adjustment HCC coding.
How to fill out risk adjustment hcc coding?
Risk adjustment HCC coding is filled out by healthcare providers based on the specific diagnoses and conditions of the patient.
What is the purpose of risk adjustment hcc coding?
The purpose of risk adjustment HCC coding is to ensure that health insurance plans receive appropriate payments based on the health needs of their enrollees.
What information must be reported on risk adjustment hcc coding?
Information such as the patient's diagnoses, treatments, and medical conditions must be reported on risk adjustment HCC coding.
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