Modern Practice Podcast
2021-10
Episodes
Thursday Oct 14, 2021
Thursday Oct 14, 2021
This episode continues the discussion on Hierarchical Condition Categories, or HCCs, examining the impact of HCCs on reimbursement, approaches to risk-adjustment and changes in payment policies.
Guest speaker:
Angela Hunt, RN, MBA, CCDS
Principal
Operations and Quality
Vizient
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Principal
Clinical Operations and Quality
Vizient
Show Notes:
[00:43] RAF scores defined
[01:22] Importance of RAF scores for reimbursement
[03:40] Importance of understanding HCCs and their documentation
[04:07] Risk adjusting patients
[06:07] Payment structures in commercial policies
[06:49] Approach and input from the Vizient team – focus on documentation
[07:59] The future of HCCs and documentation
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Angela Hunt’s contact email: angela.hunt@vizientinc.com
Hierarchical Condition Categories Coding (AAFP) Click here
HCC Fact Sheet (Vizient) Click here
Subscribe Today!
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Thursday Oct 07, 2021
Thursday Oct 07, 2021
Hierarchical Condition Categories (HCCs) aren’t a new concept, but as more and more organizations shift to value-based care, there has been renewed issue in the subject. This is based on the recognition that without solid foundational knowledge of HCCs, health systems risk lower rates of reimbursement, or sometimes not getting paid at all.
On this program, we will explore the use of HCCs and their importance to medical practice.
Guest speaker:
Angela Hunt, RN, MBA, CCDS
Principal
Operations and Quality
Vizient
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Principal
Clinical Operations and Quality
Vizient
Show Notes:
[01:36] Background and definition for HCCs
[02:24] Using HCCs
[02:54] Physicians and clinicians who use HCCs
[04:08] Importance
[05:34] Documentation approaches
[08:47] Deriving value through the HCC designation
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Angela Hunt’s contact email: angela.hunt@vizientinc.com
Hierarchical Condition Categories Coding (AAFP) Click here
HCC Fact Sheet (Vizient) Click here
Subscribe Today!
Apple Podcasts
Spotify
Android
Google Podcasts
Stitcher
RSS Feed