Hierarchical Condition Category (HCC) and Risk Adjustment - Inferscience

 


HCC is a payment model which identifies individuals with serious or chronic illness and assigns a risk factor score to them based on the individual’s health conditions and demographics. The risk adjustment score is then used by CMS to determine the payment to Medicare Advantage Plans. There are more than 9000 ICD-10 codes that map to 83 HCC categories in the HCC medicare risk adjustment model. For more information, visit our website!

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