Hierarchical Condition Category (HCC) is a term that describes the grouping of similar diagnoses into one related category to be used in a risk adjustment model

Risk Adjustment Search Tool Use the Risk Adjustment Search Tool to quickly find a hierarchical condition category (HCC) assignment. Enter the ICD-10-CM code or the diagnosis for results …

Certified risk adjustment coder training is both exhilarating and challenging. Throughout the course, you’ll learn the principles of risk adjustment and accurate diagnosis coding.

Sep 2, 2025 · Accurate risk adjustment coding is the cornerstone of value-based care. Hierarchical condition category (HCC) coding is a risk-adjustment methodology Accurate risk …

HCC crosswalks are fairly easy to use, and medical coders who work with HCC coding models and risk adjustment may access the information in different ways. For instance, a coder may …

Whether an HCC coder (also referred to as a risk adjustment coder) is coding for a physician’s office, a health plan, or a government auditing contractor, they need to understand the …

Apr 1, 2019 · HCC Coding Basics HCC is a risk adjustment model used by the Centers for Medicare & Medicaid Services (CMS) for Medicare Advantage (Part C) contract rates. Risk …

Oct 29, 2025 · Together, we’ll walk through mock patient charts, following the same steps a risk adjustment coder takes in a retrospective review. We’ll then identifying conditions and …

HCC Calculator — Codify by AAPC Add-On The CMS-HCC risk adjustment model is used to calculate risk scores to adjust capitated payments made for aged and disabled beneficiaries …

Implementing an effective HCC coding system is essential to strong financial and clinical performance under value-based reimbursement contracts.