Improve Revenue with HCC Coding
This course provides an overview of important concepts related to HCC coding. Successful risk adjustment and payment reimbursement require accurate reporting and proper provider documentation of a patient’s illness severity. Providers and coders must follow ICD-10-CM guidelines when selecting diagnosis codes for an encounter, and determine whether to use all current and past conditions. Special care should be taken with selecting specific diagnosis codes for chronic conditions.
It is important to know what types of unspecified codes do not carry a risk-adjusted factor (RAF). Practices often neglect to report status codes, and failure to do so has negative consequences in risk-adjusted diagnosis coding. It is imperative to improve documentation to replace unspecified codes with more specific diagnosis codes.
Thursday, April 16, 2026