"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, ...

RxHCC revenue represents real money, and the gap between what you're capturing and what you could be capturing is probably ...

This interdisciplinary team will be positioned to identify and address concerns and act quickly to implement education and policy updates. Q: We're looking for ways to bring our CDI and coding teams ...

LEWES, Del., April 22, 2025 (GLOBE NEWSWIRE) -- John Snow Labs, the AI for healthcare company, today announced its new end-to-end Hierarchical Condition Category (HCC) coding engine designed to help ...

Accurate risk adjustment isn’t just a box to check; it’s now a strategic lever. Hierarchical Condition Category (HCC) coding underpins risk scores that drive Medicare Advantage and other value-based ...

Claims data, which form the foundation of risk adjustment in payment for health care services, may reflect efforts to capture more—or more severe—clinical conditions rather than true changes in health ...

The end-to-end solution enables payers and providers to run patient risk adjustment programs in-house, lowering costs and improving accuracy LEWES, Del., April 22, 2025 (GLOBE NEWSWIRE) -- John Snow ...

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