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Episode 64: Hierarchical What? Why Adding HCC Codes Adds a Lot to Your Bottom Line

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Content provided by Jill Arena. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Jill Arena or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.

In this episode, we're demystifying a topic that's critical yet often overlooked in medical billing – Hierarchical Condition Category, or HCC coding. Understanding HCC coding is not just about compliance; it's about ensuring your practice's financial health. So, let's dive into the world of HCC codes and discover why they add a lot to your bottom line.

HCC coding might sound like a complex term wrapped in layers of healthcare jargon, but it's actually a cornerstone of modern healthcare reimbursement. Put simply, HCC codes are part of a risk adjustment model used primarily by Medicare and other payers to predict future healthcare costs based on the diagnoses documented in a patient's medical records.

But why are HCC codes so important? It's all about risk adjustment. In a system where healthcare providers are increasingly reimbursed based on the complexity of care rather than the volume of services, accurately capturing a patient's health status is crucial. Proper HCC coding ensures that the reimbursement you receive truly reflects the care your patients require, and the diagnostic complexity involved in providing care for them. And it ensures that your patients’ RAF scores are as accurate as they can be.
Please Follow or Subscribe to get new episodes delivered to you as soon as they drop!
Visit Jill’s company, Health e Practices’ website: https://healtheps.com/
Subscribe to our newsletter, Health e Connections: http://21978609.hs-sites.com/newletter-subscriber
Want more content? Find sample job descriptions, financial tools, templates and much more: www.MedicalMoneyMattersPodcast.com

Purchase your copy of Jill’s book here: Physician Heal Thy Financial Self
Join our Medical Money Matters Facebook Group here:
https://www.facebook.com/groups/3834886643404507/
Original Musical Score by: Craig Addy at
https://www.underthepiano.ca/ Visit Craig’s website to book your Once in a Lifetime music experience
Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven
https://www.communicationtwentyfourseven.com/

  continue reading

102 episodes

Artwork
iconShare
 
Manage episode 400758242 series 3416678
Content provided by Jill Arena. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Jill Arena or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.

In this episode, we're demystifying a topic that's critical yet often overlooked in medical billing – Hierarchical Condition Category, or HCC coding. Understanding HCC coding is not just about compliance; it's about ensuring your practice's financial health. So, let's dive into the world of HCC codes and discover why they add a lot to your bottom line.

HCC coding might sound like a complex term wrapped in layers of healthcare jargon, but it's actually a cornerstone of modern healthcare reimbursement. Put simply, HCC codes are part of a risk adjustment model used primarily by Medicare and other payers to predict future healthcare costs based on the diagnoses documented in a patient's medical records.

But why are HCC codes so important? It's all about risk adjustment. In a system where healthcare providers are increasingly reimbursed based on the complexity of care rather than the volume of services, accurately capturing a patient's health status is crucial. Proper HCC coding ensures that the reimbursement you receive truly reflects the care your patients require, and the diagnostic complexity involved in providing care for them. And it ensures that your patients’ RAF scores are as accurate as they can be.
Please Follow or Subscribe to get new episodes delivered to you as soon as they drop!
Visit Jill’s company, Health e Practices’ website: https://healtheps.com/
Subscribe to our newsletter, Health e Connections: http://21978609.hs-sites.com/newletter-subscriber
Want more content? Find sample job descriptions, financial tools, templates and much more: www.MedicalMoneyMattersPodcast.com

Purchase your copy of Jill’s book here: Physician Heal Thy Financial Self
Join our Medical Money Matters Facebook Group here:
https://www.facebook.com/groups/3834886643404507/
Original Musical Score by: Craig Addy at
https://www.underthepiano.ca/ Visit Craig’s website to book your Once in a Lifetime music experience
Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven
https://www.communicationtwentyfourseven.com/

  continue reading

102 episodes

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