Hierarchical condition category (HCC) capture is critical to the success of any downside risk contract. As HCC insights and education continue to be released, you’ve likely heard that HCCs must be captured during the current year to impact the following year’s reimbursement and that the specificity of HCCs can drastically impact reimbursement rates. But translating that understanding of HCCs into an action plan to improve the financial health of your organization is an entirely different task. The good news? There are foundational steps that practices can take today to improve HCC capture, as well as some more sophisticated actions to consider to position your organization for the future. Join this session to discuss outpatient clinical documentation integrity (CDI) and explore actionable opportunities for HCC capture, ranging from low-hanging fruit like workflow design to longer-term investments like advanced artificial intelligence (AI) solutions.
Learning Objectives:
Identify the criticality and impact of HCC capture
Describe pre- and post-visit workflows to capture HCCs
Discuss strategies to include physicians in the process of HCC capture
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