April 15th, 2021
The rules related to HCC coding in physician practices are found in the ICD-10 book itself and in CMS guidance. Long before selecting the correct code, clinicians and coders need to understand the guidelines. This session will describe the guidelines, based on citations from these definitive sources. Participants will learn how to interpret the “with” guideline in ICD-10 when applying HCC codes, the difference between coding and clinical verification, what parts of the record are “off limits,” and whether they are required to use MEAT (monitor, evaluation, assessment, treatment).
After the session, participants will be able to:
- Name the source citations for HCC coding
- Describe the concepts of HCC coding
- Identify opportunities for improvement in coding