What does HCC mean in insurance?

2020-03-06

What does HCC mean in insurance?

Hierarchical Condition Category
Risk Adjustment and Hierarchical Condition Category (HCC) coding is a payment model mandated by the Centers for Medicare and Medicaid Services (CMS) in 1997.

What does HCC mean in medical notes?

HCCs, or Hierarchical Condition Categories, are sets of medical codes that are linked to specific clinical diagnoses. Since 2004, HCCs have been used by the Centers for Medicare and Medicaid Services (CMS) as part of a risk-adjustment model that identifies individuals with serious acute or chronic conditions.

What is RAF and HCC?

The HCC model assigns a Risk Adjustment Factor (RAF) to each Medicare patient as measurement of probable costs, which is then used to adjust capitation payments for patients enrolled in Medicare Advantage plans.

What does HCC in epic mean?

Posted at 00:59h in Epic, Optimization, Population Health, Quality Measures by Contineo Health 0 Comments. HCCs (Hierarchical Condition Categories) are Medicare’s risk-adjustment methodology to estimate projected costs for Medicare beneficiaries based on their disease burden & demographic risk.

Why is HCC important?

Why is HCC coding important? Hierarchical condition category coding helps communicate patient complexity and paint a picture of the whole patient. In addition to helping predict health care resource utilization, RAF scores are used to risk adjust quality and cost metrics.

What is HHC stand for?

HHC

Acronym Definition
HHC Headquarters Company
HHC Home Health Care
HHC Html Help Equivalent
HHC Html Help Activex Control

What is HCC diabetes?

The occurrence of hepatocellular carcinoma (HCC) is two to three times higher in patients with diabetes mellitus (DM), the prevalence of which is increasing sharply worldwide.

What is HCC heart failure?

There are multiple cardiovascular conditions associated with Hierarchical Condition Category (HCC) codes….Hypertension.

Diagnosis code HCC code
I 13.0 – Hypertensive heart & CKD with heart failure 85
I50.30 – Unspecified diastolic heart failure 85
N18.4 – Stage 4 CKD ; 137

What is an HHC cartridge?

The cannabinoid hexahydrocannabinol is often offered in the form of a vape cartridge. The resulting product is called a “HHC cartridge,” and these cartridges often contain HHC distillate. This type of extract consists of synthesized HHC combined with a carrier substance like terpene-rich cannabis distillate.