| Abbreviation | Meaning |
|---|---|
| HC | head circumference hemorrhagic colitis homocysteine |
| HCA | Healthcare Associated, as in HCA-CDI |
| HCAP | health care-associated (or acquired) pneumonia |
| HCC | hepatocellular carcinoma |
What does HC mean in medical terminology?
HC: head circumference hemorrhagic colitis homocysteine HCA: Healthcare Associated, as in HCA-CDI HCAP: health care-associated (or acquired) pneumonia: HCC: hepatocellular carcinoma: HCF: Healthcare Facility HCFA: Healthcare Facility Associated, as in HCFA-CDI hCG: human chorionic gonadotropin: HCL: hairy cell leukemia: HCM: hypertrophic cardiomyopathy
What does HC mean in physics?
In physics, hc is a physical constant. Where h is Planck constant. It is the physical constant that relates the energy carried by a single photon to its corresponding frequency. The velocity of light in the vacuum is represented by c. Here h and c are constant, hence they are combined to give the value of hc. The value os this physical constant ...
What does HC mean in an address?
HC stands for Highway Contract (rural route post office addressing) Suggest new definition. This definition appears frequently and is found in the following Acronym Finder categories: Military and Government. See other definitions of HC. Other Resources: We have 109 other meanings of HC in our Acronym Attic.
What does HC mean in text?
Habbo Club (chat site) HC: High-Speed CMOS (family of logic integrated circuits) HC: Hazard Control (NIOSH) HC: Honor Code: HC: Honey Comb: HC: Hitachi Capital (Japan) HC: Haverford College: HC: Horizontal Clearance: HC: Hypercard: HC: Home Church: HC: Hitman: Contracts (video game) HC: Happy Couple: HC: Hampshire College: HC
What are HCCs?
How does HCC affect healthcare?
How and by whom are HCCs used?
How many HCC codes are there in 2020?
How much is the bonus for HCC code 19?
What is a RAF score and what does it have to do with HCCs?
See 3 more
About this website
Hierarchical Condition Category Coding | AAFP
Hierarchical condition category (HCC) coding is a risk-adjustment model originally designed to estimate future health care costs for patients.
HCC Codes - Hierarchical Condition Category Codes - Medical Codes
Understanding Capitated Payment, Risk Adjustment, and HCCs. A capitated payment system is a system in which a medical provider receives payment per patient (as opposed to receiving payment for services rendered). It pays a physician or group of physicians a set amount for each enrolled person assigned to them, per period of time, whether or not that person seeks care.
HCC Category Descriptor / Example Diagnoses 2020 HCC ICD-10
©2020 Home Centered Care Institute 2 www.HCCInstitute.org . HCC Category HCC Category Descriptor / Example Diagnoses . 2019 HCC Value ICD-10 Code
An Introduction to Hierarchical Condition Categories (HCC)
When coding and submitting claims for a physician’s professional services in a Fee for Service (FFS) world, claims data is used to determine whether a service meets medical necessity criteria and if so, how much money the payer will allow for the billed services.
What Are Hierarchical Condition Categories (HCC)? | Medicare and ...
Hierarchical condition categories (HCC) are the groups of diagnoses you have that directly impact how much it costs your Medicare Advantage plan to take care of you. By addressing HCCs, you can help move the needle on rising healthcare costs.
What are HCCs?
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. This allows Medicare to project the expected risk and future annual cost of care. Each HCC represents diagnoses with similar clinical complexity and expected annual care costs.
How does HCC affect healthcare?
HCCs directly impact the amount of money received by healthcare organizations from the largest single payer in healthcare, CMS. Patients with high HCCs are expected to require intensive medical treatment, and clinicians that enroll these high-risk patients are reimbursed at higher rates than those with enrollees who have low HCCs. Organizations who do not document HCC codes properly or to the highest specificity will not receive these additional reimbursement amount for applicable patients.
How and by whom are HCCs used?
HCCs are used to calculate payments to healthcare organizations for patients who are insured by Medicare Advantage (MA) plans, Accountable Care Organizations (ACOs), some Affordable Care Act (ACA) plans and many more. Clinicians add HCCs to a patient’s medical record along with supporting documentation as required by CMS.
How many HCC codes are there in 2020?
HCC codes represent costly chronic health conditions, as well as some severe acute conditions. As of 2020, there are 86 HCC codes, arranged into 19 categories. These 86 codes are comprised of 9,700 ICD-10-CM codes, each representing a singular medical condition. The top HCC categories include major depressive and bipolar disorders, asthma and pulmonary disease, diabetes, specified heart arrhythmias, congestive heart failure, breast and prostate cancer, and rheumatoid arthritis.
How much is the bonus for HCC code 19?
For example, diabetes with no complications, HCC code 19, pays a $894.40 premium bonus, while diabetes with ESRD, requires 2 HCC codes, 18 and 136, and has a bonus of $1273.60. The ability to document with greater precision can dramatically impact payment amounts.
What is a RAF score and what does it have to do with HCCs?
A Risk Adjustment Factor, known as a RAF score, is a measure of the estimated cost of an individual’s care based on their disease burden and demographic information. The RAF score is then used to calculate payments to healthcare organizations. Each HCC associated with a patient is assigned a relative factor that is averaged with any other HCC code factors and a demographic score. The resulting score is then multiplied by a predetermined dollar amount to set the per-member-per-month (PMPM) capitated reimbursement for the next period of coverage. The PMPM is the payment amount a provider receives for a patient enrolled in an MA plan regardless of services provided. Healthier patients will have a below average RAF while sicker patients will have a higher one, which impacts the calculated payment amount. Scores are calculated on an annual basis.
What does HCC mean in medical coding?
So, what does HCC stand for in medical coding? The Hierarchical Condition Categories (HCC) is a risk-adjustment model that has existed for many years. With the introduction of the Medicare Advantage Plans and its requirement of RAF reimbursement scores, the HCC has become more popular.
What are the main categories of HCC?
The main HCC categories are bipolar disorders, pulmonary disease, diabetes, congestive heart failure, rheumatoid arthritis, prostate & breast cancer and specified heart arrhythmias.
What does the Affordable Care Act do?
Here’s the deal…. The Affordable Care Act (ACA) ensures that insurance companies don’t give healthy patients cheap insurance plans. These are people who rarely visit the doctor, and this ensures that they do not inflate or deny cover for ill patients.
Can a physician document HCC?
While physician and other healthcare providers can document the services performed accurately, legibly and completely, collaborating with the right medical coding company with experience in HCC coding will ensure accurate code assignment.
Is HCC a good equalizer?
Therefore, the HCC is a great equalizer. Before the rise of the risk adjustment model, reimbursement was solely based on demographic factors. Costs may vary widely among patients. As such, risk adjustment can be used to evaluate patients on an equal scale.
What are HCCs?
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. This allows Medicare to project the expected risk and future annual cost of care. Each HCC represents diagnoses with similar clinical complexity and expected annual care costs.
How does HCC affect healthcare?
HCCs directly impact the amount of money received by healthcare organizations from the largest single payer in healthcare, CMS. Patients with high HCCs are expected to require intensive medical treatment, and clinicians that enroll these high-risk patients are reimbursed at higher rates than those with enrollees who have low HCCs. Organizations who do not document HCC codes properly or to the highest specificity will not receive these additional reimbursement amount for applicable patients.
How and by whom are HCCs used?
HCCs are used to calculate payments to healthcare organizations for patients who are insured by Medicare Advantage (MA) plans, Accountable Care Organizations (ACOs), some Affordable Care Act (ACA) plans and many more. Clinicians add HCCs to a patient’s medical record along with supporting documentation as required by CMS.
How many HCC codes are there in 2020?
HCC codes represent costly chronic health conditions, as well as some severe acute conditions. As of 2020, there are 86 HCC codes, arranged into 19 categories. These 86 codes are comprised of 9,700 ICD-10-CM codes, each representing a singular medical condition. The top HCC categories include major depressive and bipolar disorders, asthma and pulmonary disease, diabetes, specified heart arrhythmias, congestive heart failure, breast and prostate cancer, and rheumatoid arthritis.
How much is the bonus for HCC code 19?
For example, diabetes with no complications, HCC code 19, pays a $894.40 premium bonus, while diabetes with ESRD, requires 2 HCC codes, 18 and 136, and has a bonus of $1273.60. The ability to document with greater precision can dramatically impact payment amounts.
What is a RAF score and what does it have to do with HCCs?
A Risk Adjustment Factor, known as a RAF score, is a measure of the estimated cost of an individual’s care based on their disease burden and demographic information. The RAF score is then used to calculate payments to healthcare organizations. Each HCC associated with a patient is assigned a relative factor that is averaged with any other HCC code factors and a demographic score. The resulting score is then multiplied by a predetermined dollar amount to set the per-member-per-month (PMPM) capitated reimbursement for the next period of coverage. The PMPM is the payment amount a provider receives for a patient enrolled in an MA plan regardless of services provided. Healthier patients will have a below average RAF while sicker patients will have a higher one, which impacts the calculated payment amount. Scores are calculated on an annual basis.
