About Us

We are a leading HCC Risk Adjustment Medical Coding business based in Dallas, TX . With our expertise and dedication, we provide exceptional coding services to healthcare organizations, ensuring accurate and compliant medical coding practices.

Understanding HCC Coding

HCC coding stands for Hierarchical Condition Category coding, a risk adjustment model used to predict healthcare costs. It groups diagnosis codes into categories to reflect disease severity and impact on resource use. HCC coding helps payers and providers understand patient complexity and allocate resources accordingly.

HCC coding uses ICD-10-CM codes to assign risk scores to patients and predict costs . It's important for accurate payment and quality metrics . HCC coding is different from fee-for-service coding and requires specialized expertise .

* HCC coding assigns a score to each patient based on their diagnoses, age, and gender.

* The scores are used to predict healthcare costs and adjust payments to healthcare providers.

* HCC coding is used in value-based payment models, like Medicare Advantage and Accountable Care Organizations.

* Accurate HCC coding is important for fair payment and to reflect the complexity of patient care.

* HCC codes are updated annually by the Centers for Medicare and Medicaid Services (CMS).

Contact Us

Get in touch with us to discuss your medical coding needs and how we can help your organization.