CMS Hierarchical Condition Categories through a different lens Wahiyda Harding MSA, RHIA, CCS Education and Training Mentor MedPartners | MPU Division Hierarchical Condition Categories (HCCs) were first implemented by the Centers for Medicare and Medicaid Services (CMS) in 2004 as a payment model that adjusts for risk of mortality (ROI) and severity of illness (SOI).
Tag: risk adjustment
Hierarchical Condition Categories and Risk Adjustment by David Reece, BSN, RN, CCDS, Consulting Director, Outpatient CDI Solutions, MedPartners University If you’ve been following the trends of healthcare, it seems that hierarchical condition categories (HCCs) are the buzzword in outpatient.
Risk adjustment (RA) is the most groundbreaking initiative involving reimbursement models since their inception and will likely become the standard in the future across all payers; therefore I applaud you for seeking out knowledge on risk adjustment.
The expansion of risk adjustment across payers is the most groundbreaking initiative involving reimbursement models since their inception.
The internet brings information to our fingertips, and CDI and HIM information is no exception. There is a plethora of data on risk adjustment and for those who desire to learn, it is possible to learn everything you need to be successful at risk adjustment for free.