HCPro, JustCoding Outpatient - 2017 Issue 17 (April)

Measuring the impact of HCCs

April 25th, 2017

HCCs are the basis for risk adjustments for reimbursement models like Medicare Advantage, accountable care organizations, and other value-based purchasing measures such as Medicare Spending Per Beneficiary. Poor understanding and application of HCCs mean that a hospital’s patients may be much sicker in reality than they appear to be on paper, and that will hit reimbursement hard.

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