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Case Study

Improving HCC Coding Capture

By December 13, 2021January 31st, 2022No Comments

Innovative outreach and engagement solution increases Medicare Advantage HCC coding

Medicare Advantage (MA) plans rely on risk adjustments within their member population to accurately reflect reimbursements. Members with one or more improperly coded or missing hierarchical condition categories (HCC) mean less reimbursement revenue for that patient population.

Having reimbursement properly reflect the risk of a MA population is an important objective for health plans. Using a systematic process powered by advanced analytics is an important strategy health plan can deploy to achieve such objectives.