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HCC Coding made easier

Hierarchical Condition Category (HCC) Coding is a payment model mandated in 1987 by the Centers for Medicare and Medicaid Services (CMS). This documentation is required to set your risk adjustment score and determine your reimbursement from CMS.

HCC Coding Tool

Physicians receive higher capitation rates when they include HCC codes

OnePartner has created a HCC Coding Tool that:

  • Works within existing EMR workflow
  • Performs risk assessments through use of the HCC risk stratification model developed by CMS
  • Calculates HCC risk scores by year and graphs them chronologically
  • Provides an adjustable default view which includes up to 7 years of HCC risk history (depending on available data)
  • Creates annual calculations which include all details involved in the calculation
  • Delivers tooltips utilized in an effort to provide additional information on items without consuming additional screen space