Rcxrules.com

Top 10 Most Common HCC Codes

WEBAppropriate capture and documentation of HCC Codes for patients is critical for accurate risk adjustment scores. Understanding how the over 9,700 ICD-10-CM …

Actived: 6 days ago

URL: https://www.rcxrules.com/blog/common-hcc-codes

HCC Coding Risk Adjustment Value Based Reimbursement

WEBHCC Coding: A Shift in Reimbursement Mindset. CMS first implemented the Hierarchical Condition Category (HCC) risk adjustment model in 2004 as the methodology to risk …

Category: Health Go Health

The Role of Medical Necessity in Healthcare

WEBMedical necessity refers to the determination that a healthcare service or treatment is essential and appropriate for a patient's condition. It is built upon evidence …

Category: Medical Go Health

7 Tips to Close HCC Gaps and Ensure Complete Code Capture

WEB7. Give your providers regular feedback. It’s important to educate providers on their performance in capturing HCCs—and on ways to improve. Work with them to …

Category: Health Go Health

How to Use HCC Analytics to Improve Provider Education and

WEBThe data on this report can lead to a variety of opportunities to improve provider education and point-of-care HCC capture. Below are some common use cases: …

Category: Health Go Health

Important Changes to MIPS Reporting in 2024

WEBThis blog will cover some of the top changes affecting clinicians in reporting year 2024. Data Completeness increased to 75%: Data completeness is the percentage …

Category: Health Go Health

Overcoming Revenue Cycle Management Staffing Challenges

WEBOvercoming Revenue Cycle Management Staffing Challenges. Hiring and retaining staff in the healthcare field is a challenge that isn’t going away anytime soon. …

Category: Health Go Health

Why Are My RAF Scores Low

WEBAchieving accurate RAF scores is no easy feat. You may be asking the question, “why are my RAF scores low?” or “why don’t my RAF scores reflect my patient …

Category: Health Go Health

HCC Coding & Healthcare Revenue Cycle Management Solutions

WEB1.5 million hours of staff work automated annually. 180 million claims automatically reviewed annually. "The RCxRules software has automated several manual processes …

Category: Health Go Health

What Are Custom Claim Edits and Why Are They Important

WEBAccording to Healthcare Innovation, healthcare claims editing is a step in the claims payment cycle that involves verifying that physician-submitted bills are coded …

Category: Health Go Health

RCxRules HCC Coding Engine Updates for the V28 Transition

WEBThe RCxRules HCC Coding Engine has created a special product patch to help you handle this transition. This patch will enable the following capabilities: …

Category: Health Go Health

RAF Scores and Medicare Advantage

WEBKaren, Vice President of Value-Based Solutions, is our in-house HCC coding success expert. Her focus is on working with customers to help them create, strategize, …

Category: Health Go Health

Revenue Cycle Company Brings Medical Practices Live 66

WEBJanuary 31, 2024 New Year, New Preventive Medicine Benefits The new year is the perfect time to encourage patients to take advantage of preventive medicine …

Category: Medicine Go Health

HCC Model v28 Proposed Changes: Opposing Viewpoints

WEBHCC Model v28 Proposed Changes: Opposing Viewpoints. CMS has proposed a new risk adjustment model version (v28) for 2024 that is based on more …

Category: Health Go Health

Tips for Querying a Physician to Improve HCC Coding Accuracy

WEBWhat is a Physician Query? The American Health Information Management Association (AHIMA) defines a physician query as “a communication tool or process …

Category: Health Go Health

HCCs and RAF Scores: A Two-Part Challenge

WEBWhile HCC coding is complex, let’s focus on two key components of HCC coding and your RAF scores: 1. Clinically Addressing the HCC. This challenge has been …

Category: Health Go Health

How This ACO Improved Coder Productivity and HCC Accuracy

WEBTheir Accountable Care Organization (ACO), Abacus Health, was selected to participate in the Medicare Shared Savings Program (MSSP) beginning on January 1, …

Category: Health Go Health

3 Ways to Prioritize HCC Coding Review Opportunities in the

WEBMonitoring and collecting data from these Level 4 visits to determine which HCCs could be added or deleted during coding review is a great way to identify trends …

Category: Health Go Health

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