Inside Angle

From 3M Health Information Systems

Tag: HCCs

Grethen MillsGretchen Mills

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Why risk adjust?

Aug. 1, 2022 / By Gretchen Mills

Risk adjustment is used primarily to predict health care costs based on the relative risk of members or patients. Risk adjustment is designed to mitigate the impacts of potential adverse […]

Richard WetherbeeRichard Wetherbee

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HCC specific documentation criteria

July 27, 2022 / By Richard Wetherbee

In my last blog, HCCs: An awareness perspective, I introduced you to Mike, a 66-year old white male with type II diabetes mellitus (DM) and congestive heart failure (CHF). I […]

Richard WetherbeeRichard Wetherbee

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HCCs: An awareness perspective

April 6, 2022 / By Richard Wetherbee

The idea that, at some point in each of our lives, we may become acutely ill, eventually leading to the development of a chronic medical condition is a very real […]

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The OIG and DOJ expect compliant HCC documentation

Jan. 31, 2022 / By Chris Berg, RHIA

As a clinical documentation integrity (CDI) and coding professional, I’ve often heard the statement: If it’s not documented, it wasn’t done. I have used this statement educating physicians and nurses […]

Sandeep WadhwaSandeep Wadhwa

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Three questions with Sandeep Wadhwa, MD, MBA: Medicare Advantage in 2022—Part 2

Jan. 18, 2022 / By Sandeep Wadhwa, MD, MBA, Kelli Christman

I sat down with 3M Health Information Systems Global Chief Medical Officer Sandeep Wadhwa, MD, MBA, to discuss clinical and financial risk management, and risk stratification with Medicare Advantage plans. […]

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A look back at popular blogs of 2021

Nov. 30, 2021

As we head into 2022, we want to take the time to thank you, our loyal 3M HIS Inside Angle readers, for your continued interest in and engagement with the […]

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Diabetic HCCs: Documenting and capturing complications

Oct. 13, 2021 / By Chris Berg, RHIA

According to the Center for Disease Control’s National Diabetic Statistics Report 2020, there are 34 million people in the United States that have diabetes. That is 11 percent of the […]

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Documentation and coding for HCCs in the wound care setting

July 12, 2021 / By Bobbie Starkey

As Medicare Advantage (MA) organizations report chronic disease conditions using ICD-10-CM encounter data to the Centers for Medicare and Medicaid Services (CMS) for use in the hierarchical condition category (HCC) […]

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Three questions with Liz Guyton: Health care innovations, physician burnout and HIMSS

June 7, 2021 / By Liz Guyton, Kelli Christman

We sat down with 3M Health Information Systems Vice President of the U.S. and Canada Liz Guyton, CPA, to discuss big tech in health care, extinguishing physician burnout and HIMSS. […]

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Back to basics: HCCs 101

April 30, 2021 / By Chris Berg, RHIA

Hierarchical Condition Categories (HCCs) have been used in the Centers for Medicare & Medicaid Services (CMS) risk adjustment payment model since 2004. That’s 17 years! More and more HIM professionals […]

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Red Flag: OIG chart reviews of Medicare Advantage records raise concerns. Billions misspent?

Feb. 14, 2020 / By Barbara Aubry, RN

Audits of Hierarchical Condition Categories (HCCs) have been performed for years as a way for Part C vendors (Medicare Advantage Organizations) to identify and support patients with complex needs. Higher […]

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Strategy weaving: Using HCCs, MACRA and readmission reduction requirements to strategize performance improvement

Nov. 20, 2019 / By Michael Malohifo’ou, RN, MBA

Far too often, healthcare organizations treat planning and execution as two separate processes which are intended to achieve a larger goal. Leadership makes plans and departments and workers are told […]