The Hierarchical Condition Category (HCC) is a risk adjustment platform used for the prediction of the cost that beneficiaries using medical insurance will get. This amount will then be reimbursed to the healthcare organizations treating the patients. Hence, the cost prediction is important as it impacts the functioning of the hospital.
Every HCC model utilizes a Risk Adjustment Factor (RAF) or every patient enrolled and gathers specific information. This information is then analyzed to create a virtual image of a patient to predict the total cost of healthcare infrastructure used. It helps the organization to judge the risks, check the financial viability, and provide better care to the patients accordingly.
How HCC coding accuracy can be improved?
As you can understand that the prime step is to acquire data regarding every patient, the HCC model. Hence, the documentation of the patients should be done accordingly in the healthcare division. Here is how HCC coding can be made more accurate.
