What is an HCC?
Hierarchical condition category (HCC) coding is a risk-adjustment model originally designed to estimate future health care costs for patients.
What does HCC mean in a diagnosis?
Hierarchical Condition Categories
HCCs, or Hierarchical Condition Categories, are sets of medical codes that are linked to specific clinical diagnoses. Since 2004, HCCs have been used by the Centers for Medicare and Medicaid Services (CMS) as part of a risk-adjustment model that identifies individuals with serious acute or chronic conditions.
What is the purpose of HCC?
The main goal of HCC is to allow for better health management along with accurate reimbursements from Medicare Advantage plans. In order to achieve that goal, medical coders need to be up to date on best practices and educated on HCC.
What does HCC mean on a CT scan?
Cross-sectional imaging with computed tomography (CT) scanning and magnetic resonance imaging (MRI) is most commonly used to detect hepatocellular carcinoma (HCC). CT scanning is frequently the first examination; however, MRI has superior contrast resolution and may better detect lesions less than 1 cm in diameter.
What does HCC mean in mental health?
Risk Adjustment and Hierarchical Condition Category (HCC) coding is a payment model mandated by the Centers for Medicare and Medicaid Services (CMS) in 1997.
What does HHC stand for in healthcare?
Hand Hygiene Compliance (healthcare) HHC.
What is HCC heart failure?
An HCC is a category of disease type (e.g., congestive heart failure) with multiple individual ICD-10 diagnoses that map to that HCC category.
What are HCC categories?
Created by CMS in 1997 and implemented in 2003, HCC or “Hierarchical Condition Category” is a risk adjustment model that calculates risk scores for aged and disabled Medicare beneficiaries. These scores represent the expected medical costs of a Medicare member in the coming year.
What are HCC gaps?
HAP has a Hierarchical Condition Category, or HCC, gap closure program. An HCC is a group of diagnoses used by CMS in their risk adjusted reimbursement model for Medicare Advantage plans. These codes are the primary indicators of a member’s health status. Most HCCs are conditions that tend to be chronic in nature.
What is dementia type HCC?
1, 2020, CMS will incorporate into its risk score calculation for MA plans an alternative payment condition model that includes additional Hierarchical Condition Category (HCC) codes for dementia: HCC51 — Dementia With Complications and HCC52 — Dementia Without Complications.
Is depression an HCC?
Code category F33 (HCC 59) indicates major depressive disorder, recurrent. Both of these code categories require fourth digits to indicate the severity or provide remission status.
What does Euthymic affect mean?
In simple terms, euthymia is the state of living without mood disturbances. It’s commonly associated with bipolar disorder. While in a euthymic state, one typically experiences feelings of cheerfulness and tranquility. A person in this state may also display an increased level of resiliency to stress.
What is major depressive disorder single episode moderate mean?
Code F32. 1 is the diagnosis code used for Major Depressive Disorder, Single Episode, Moderate. It is a mental disorder characterized by a pervasive and persistent low mood that is accompanied by low self-esteem and by a loss of interest or pleasure in normally enjoyable activities.