Risky Business: HCC Coding

Needs Statement

In healthcare, providers face a challenge when it comes to enhancing risk scores for improved patient care within Value-Based Care. This challenge has a direct impact on the quality of care patients receive. It's evident that providers need to gain knowledge about effective risk score enhancement but encounter difficulties in applying these strategies in their daily practice. To address these challenges, this presentation aims to guide providers in utilizing the risk adjustment model, understanding documentation requirements, recognizing the components of risk scores, and reviewing high-yield codes. The goal is to empower providers to deliver more patient-centered care within the Value-Based Care framework while overcoming these obstacles.

Target Audience

Physicians and Advanced Practice Professionals.

Learning Objectives

At the conclusion of the session, the participants should be able to:

  • Utilize the risk adjustment model to assess and predict healthcare costs.
  • List the components that constitute risk scores in healthcare assessment.
  • Review high-yield ICD10 diagnoses for risk scores.
  • Identify the documentation requirements for a progress note to apply ICD-10 codes for Hierarchical Condition Category (HCC) purposes.
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Participation
Course opens: 
03/01/2024
Course expires: 
03/31/2026
Rating: 
0
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Baylor College of Medicine and Texas Health Network CIN. Baylor College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.
 
Baylor College of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Participation
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