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Tag: Risk Adjustment

Questions about CMS-HCC Version 28? IMO Health has answers.

Our experts recently held a webinar on CMS’ transition to HCC V28. Here are some highlights from the session's Q&A.

Article

Financial Return

Final MA payment model updates: Rate changes, CMS-HCC V28

CMS has finalized policy updates for Medicare Advantage (MA) plans, including major changes to reimbursement structures like CMS-HCC Version 28.

Article

Interoperability

CMS-HCC Version 28: Get informed and be prepared for change

Join IMO subject matter experts June Bronnert, Vice President, Global Clinical Services and David Arco, Director, Product Management, for an in-depth look…

Webinar

Value Based Care

Major changes proposed to Medicare Advantage payment models

CMS’ latest report proposed major changes to Medicare Advantage reimbursement structure and the clinical documentation used to capture HCCs.

Article

Interoperability

How precise documentation improves HCC reimbursement

How much does specificity in clinical documentation matter? When it comes to Medicare Advantage reimbursement, it matters. A lot.

Article

Financial Return

A guide to HCCs for CMS and HHS – and how RAF scores relate

Hierarchical Condition Categories (HCCs) are critically important for billing and reimbursement needs. Our guide takes a look at how both CMS and…

Report

Clinical Documentation and Coding

HCCs under CMS and HHS: Can you spot the difference?

Hierarchical Condition Categories (HCCs) are important for many healthcare needs – but what exactly is the difference between CMS and HHS’ programs?…

Article

Clinical Terminology

Getting the right reimbursement for high-risk patients: A proven strategy for managing HCCs

This white paper explores how a sound HCC strategy can improve the management of chronic diseases, create a more complete picture of…

White Paper

Clinical Documentation and Coding

Payment models and value-based care

When it comes to value-based care, payment models can be tough to understand. We’re breaking down what you need to know below.

Article

Financial Return

HCC 101: CMS vs. HHS Hierarchical Condition Categories

HCCs are important for reimbursement – but what differentiates a CMS HCC from an HHS one? Here are the basics.

Article

Clinical Terminology

Five things to know about HCCs and EHR workflows

HCCs are critically important, yet complex and sometimes confusing. We’re highlighting five things to simplify HCC documentation within EHR workflows.

Article

Clinical Terminology

Managing HCCs for the right reimbursement

Sometimes close enough is good enough, but for those capturing and documenting high-risk patient diagnoses in the EHR, added specificity is key.

Article

Clinician Engagement

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Tag: Risk Adjustment

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