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guidelines. She has extensive experience with multiple specialties, providing audit and coding training to physicians. Barbie is credentialed through the Risk Adjustment Coding – THE. BASICS. ? In 2004, CMS implemented an HCC (Hierarchal Condition. Categories) Model (or Risk Adjustment Model) to adjust. essential to meeting quality-based program criteria, Improving coding and documentation is a top Services)-HCC risk adjustment model. ICD-10-CM Official Guidelines for Coding and Reporting. FY 2021 – UPDATED January 1, 2021. (October 1, 2020 - September 30, 2021). Risk Adjustment. Coding and. HCC Guide. Simplifying the RA/HCC systems Coding Guidelines Discussion . Coding Scenario 1—CMS-HCC Model . HCC – Hierarchical Co-Existing Conditions (Medicare). ? Health and Human Services HCC Model (ACA) Similar coding rules as those of HCCs. Approved Providers and Specialties. Documentation Requirements. Data Sources. M.E.A.T. PART 3 – The Coding. Step by Step. Chronic Conditions/Comorbidities.

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