Inside Angle

From 3M Health Information Systems

Tag: HCCs

Blog Post

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. […]

Blog Post

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 […]

Knowledge Lab Post

Video: HCCs help capture complete patient story

Learn how CDI teams at Trinity Health use tools to move beyond the capture of DRGs to the more complete patient story provided by HCCs (hierarchical condition categories).

Blog Post

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

February 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 […]

Blog Post

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

November 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 […]

Blog Post

How well does the CMS-HCC risk adjustment model predict future expense?

August 26, 2019 / By Samuel Young, MD

In my previous blog, “Demystifying Medicare Risk Adjustment,” I introduced the model that the Centers for Medicare and Medicaid Services (CMS) uses to predict future Medicare Advantage health expenditures—the CMS-HCC […]

Blog Post

HCCs: The importance of coders

July 26, 2019 / By Karla VonEschen, CPC, CPMA

After attending an AAPC presentation last year, I published a blog about HCC coding. Since then, I have continued to dive into the world of HCCs. To follow up on […]

Blog Post

Demystifying Medicare Risk Adjustment

July 15, 2019 / By Samuel Young, MD

As the activity around the forthcoming 2020 election period is heating up, and with it, talk of “Medicare-For-All” options, I thought I’d begin my contribution to the Inside Angle blog […]

Blog Post

The role of diagnostic exams in population health and HCC reporting

May 22, 2019 / By Michael Malohifo’ou, RN, MBA

Diagnostic exams are an important way for hospitals and health systems to capture more complete, longitudinal patient information. Complete coding of diagnostic exams supports population health management and HCC reporting. […]

Blog Post

CDI New Year’s resolution: The keys to success

January 9, 2019 / By Cheryl Manchenton, RN

Happy New Year everyone! I am terrible at New Year’s resolutions, but I did make one this year that I hope to stick to: I want to increase my intake […]

Blog Post

Act on the front-end to reduce readmissions penalties

November 16, 2018 / By Steve Cantwell

In my previous blog, I took a hard look at the impact of mental health and substance abuse on hospital readmissions, especially the torrent of patients with these issues coming […]

Blog Post

HCC coding: What’s the big deal?

June 18, 2018 / By Karla VonEschen, CPC, CPMA

A hot topic in health care today is Hierarchical Condition Categories (HCCs). At the last local AAPC chapter meeting I attended, we had a guest speaker who discussed HCCs in […]