Hierarchical Condition Category coding

1 What is HCC Coding?

HCC (Hierarchical Condition Category) coding is a risk adjustment model used mainly by:

    ✔ Center for Medicare & Medicaid Services (CMS)

    ✔ Medicare Advantage Plans

    ✔ ACA Commercial plans

It predicts future healthcare costs based on patient disease burden.

👉 More chronic/severe conditions = higher risk score = higher reimbursement.

2 Purpose of HCC Coding

HCC coding aims to:

    ✔ Capture all active chronic & significant conditions

    ✔ Reflect true patient complexity

    ✔ Calculate accurate RAF (Risk Adjustment Factor)

    ✔ Prevent underpayment or overpayment

We cater to HCC coding of all types which is:

1 PROSPECTIVE PROCESS (Pre visit)

2 CONCURRENT PROCESS (During Patient Care)

3 RETROSPECTIVE PROCESS (After Visit Completed)

For more details on our HCC coding services please send a mail to info@revenuelinkllp.com with your requirement and we will get back to you.