Inside Angle

From 3M Health Information Systems

Tag: Hierarchical Condition Categories

Richard WetherbeeRichard Wetherbee

Blog Post

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 […]

Blog Post

The OIG and DOJ expect compliant HCC documentation

January 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

Blog Post

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

January 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. […]

Blog Post

Diabetic HCCs: Documenting and capturing complications

October 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 […]

Knowledge Lab Post

Article: Review proper HCC capture for inpatient wound care

With Bobbie Starkey

Using wound care as an example, Bobbie Starkey, RHIT, CCS-P, shares why proper documentation and coding of hierarchical condition categories (HCCs) are essential across the continuum of care.

Blog Post

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) […]

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

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 […]

Knowledge Lab Post

Case Study: Hierarchical condition categories: Get documentation and coding right

With Donna Smith, RHIA

3M research conducted by HIMSS Analytics sought to understand how organizations manage data in support of value-based payment models based on HCCs.

Knowledge Lab Post

White Paper: Hierarchical condition categories (HCCs) and the shift to value-based reimbursement

What are HCCs and what role do they play in value-based reimbursement? Find out in our white paper.