Revolutionary new HCC Risk Adjustment tool delivers 99% accuracy when extracting HCC codes from physician notes using NLP PRESS RELEASE PR Newswire Nov. 15, 2021, 08:00 AM ...

Risk-adjustment reform should address concerns related to both coding intensity and predictive accuracy. We recommend that reforms to risk adjustment should accomplish key goals including the ...

Accurate HCC coding is critical for patient risk adjustment, as it directly impacts reimbursement models and financial sustainability in value-based care.

Inaccurate HCC coding can lead to significant financial implications and variability in Risk Adjustment Factor scores. A new infographic released by PYA illustrates why coding accuracy is ...

As CMS ramps up its RADV initiatives in the months ahead, plans should ensure their risk adjustment programs meet the highest standards of accuracy and compliance. Prospective and retrospective ...

The Path To More Comprehensive Reform Simple, immediate reforms to the MA risk-adjustment system could pave the way for larger changes that may reduce plan incentives to upcode.

"Modifying the HCC model is not a simple technical update or revision," the AMGA says. CMS recently released proposed changes to the CMS-HCC Risk Adjustment Model for payment year 2024 in February ...

But they must make proper use of HCC codes, which indicate expected costs for a patient, as the lawsuits are a clear indication the DOJ is focusing in on risk adjustment practices.

The Stakes of HCC Risk Scores Imagine a scenario where a healthcare provider in a bustling metropolitan area is grappling with the complexities of HCC risk adjustment coding. Dr.