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HCC Coding Fundamentals


Schedule


Presenter(s):

Jan Hailey

Location:

Webinar US

Date:

07/30/2025

Time:

12:00pm - 1:00pm
CENTRAL TIME

Price:

$119.00

CEUs: 1

 

Can't attend? Register anyway and you'll receive a link to the recording by the next business day.


About this program


Improve your knowledge of Hierarchical Condition Category (HCC) coding. This risk adjustment methodology is utilized by commercial payers and the Centers for Medicare and Medicaid Services (CMS) to predict future healthcare costs and determine reimbursement. HCC coding is especially important for those participating in Medicare Advantage (MA) Plans, Accountable Care Organizations (ACOs), and other value-based care models.

Join PMI faculty member, Jan Hailey, for a detailed review of foundational and emerging concepts related to HCC coding. Understand the vital role HCCs play in demonstrating patient complexity and assessing the health of populations. Gain familiarity with hierarchical names/numbers in HCC Version 28 and ICD-10 to HCC mappings. Understand how HCCs relate to quality measures and learn about the impact of Artificial Intelligence (AI) on risk adjustment programs.

Realize the importance of following the ICD-10 coding guidelines when selecting diagnosis codes for an encounter and comprehend the essential documentation requirements. The majority of chronic conditions map to an HCC but only when supported by complete, specific documentation.

Highlights:

  • Identify specific conditions and assign HCC codes
  • Understand how to calculate the RAF score
  • Improving documentation to replace unspecified codes
  • Explanation of M.E.A.T. criteria