What is the CMS HCC Risk Adjustment Model?

The CMS HCC Risk Adjustment Model is a risk adjustment methodology used by the Centers for Medicare & Medicaid Services (CMS) to adjust payments to Medicare Advantage (MA) plans based on the health status and expected healthcare costs of their enrollees. HCC stands for Hierarchical Condition Categories, which are groups of medical conditions that share similar expected costs of treatment.


Since its inception in 2004, the CMS HCC Risk Adjustment Model, each MA enrollee is assigned a risk score based on both their demographic information, such as age and gender, as well as their medical conditions and the severity of those conditions. The risk score is calculated by first assigning HCCs to each enrollee based on their medical diagnoses, and then applying a weight to each HCC based on its expected costs of treatment. The weights are then added up to determine the enrollee’s overall risk score.


The CMS HCC Risk Adjustment Model is designed to account for differences in the health status and expected costs of care among MA enrollees, and to ensure that MA plans are adequately compensated for the medical needs of their enrollees. The risk adjustment methodology is used to adjust payments made to MA plans based on the enrollee’s risk score, with higher risk scores resulting in higher payments to the MA plan.


The CMS HCC Risk Adjustment Model is updated annually to reflect changes in the prevalence and costs of medical conditions, as well as changes in the coding and classification systems used to identify medical diagnoses.


What is a RAF score? 


The Risk Adjustment Factor (RAF) score is a measure used to adjust the payment for healthcare services based on the health status and expected medical costs of the patient. The RAF score is typically used in the context of Medicare Advantage (MA) plans, which are a type of health insurance offered by private companies that contract with Medicare to provide Medicare benefits to eligible individuals.


The RAF score is calculated using a formula that takes into account the patient’s demographic information, such as age and gender, as well as their medical conditions and the severity of those conditions. The formula assigns a weight to each medical condition based on its expected cost of treatment. The weights are then added up to determine the patient’s overall RAF score.


So a patient has a RAF of 1.5 may have a 0.6 from demographics, a 0.3 for diabetes, and 0.6 from COPD. 


The RAF score is used to adjust the payment made by Medicare to the MA plan for each patient. Patients with higher RAF scores are considered more expensive to treat, and the MA plan will receive a higher payment to cover the expected costs of care. This helps to ensure that MA plans are adequately compensated for the medical needs of their patients, and that patients with more complex health conditions receive appropriate care.


How do HCCs relate to it?


Each year, Medicare calculates an amount of money that will be paid per member per month (PMPM).  This same base rate is paid out for every patient, regardless of what services were done.  This base rate is then multiplied by the patient’s RAF score so that more money is payed out to take care of patients with a high RAF (sicker patients) than those with a low RAF (healthier patients).  


If a CMS patient has a high RAF, they he/she is expected to get extensive medical care, clinicians who enroll these are reimbursed more than those who have low RAFs. The additional reimbursement amounts for patients who qualify will not be paid to organizations that do not properly or completely document HCC codes as incorrectly documented codes do not add to the RAF score.


To know more about HCC coding and how to improve it, you can refer to our blog on ‘How to improve HCC coding and avoid risks.’

Why HCC Coding is important in medical practices?

HCC coding in healthcare refers to the Hierarchical Condition Category (HCC) coding system used to identify and classify medical conditions for the purpose of risk adjustment. The HCC coding system is used primarily in the Medicare Advantage (MA) program, which is a type of health insurance offered by private companies that contract with Medicare to provide Medicare benefits to eligible individuals.


The HCC coding system assigns a numeric code to each medical condition based on its expected cost of treatment. The codes are grouped into HCCs, which are categories of medical conditions that share similar expected costs of treatment. For example, HCC 19 includes medical conditions such as congestive heart failure, myocardial infarction, and cardiac arrhythmias, which are all associated with high expected costs of treatment.


The HCC coding system is used to calculate a risk score for each MA enrollee, which is a measure of their expected healthcare costs based on their medical conditions and demographic information. The risk score is used to adjust payments made to MA plans, with higher risk scores resulting in higher payments to the MA plan.


Accurate HCC coding is essential for ensuring that MA plans are adequately compensated for the medical needs of their enrollees, and for providing appropriate care to patients with complex medical conditions. HCC coding is typically done by trained coders or medical professionals who are familiar with the coding guidelines and regulations.


We can give you 5 reasons to understand why HCC Coding is important in medical practices. 


Accurate risk adjustment: HCC coding is used to calculate a risk score for each patient based on their health status and expected healthcare costs. This score is used to adjust payments made to healthcare providers, so accurate HCC coding is crucial for ensuring that providers are fairly compensated for the care they provide.


Improved quality of care: By accurately identifying and documenting all of a patient’s medical conditions, HCC coding helps to ensure that providers have a complete picture of the patient’s health status. This can help providers to deliver more personalized and effective care.


Compliance with regulations: HCC coding is subject to regulatory guidelines and requirements. Accurate and complete HCC coding helps healthcare providers to comply with these regulations and avoid potential penalties or legal issues.


Optimization of resources: HCC coding can help healthcare organizations to optimize their resources by identifying patients who are at high risk for costly medical events. By targeting these patients with preventive care and disease management programs, healthcare providers can help to reduce healthcare costs and improve patient outcomes.


Increased revenue: Accurate HCC coding can help healthcare providers to maximize their revenue by ensuring that they are receiving appropriate payments for the care they provide. By identifying all relevant medical conditions and coding them appropriately, providers can help to ensure that they are not underpaid for the services they render.


Overall, incorporating HCC coding into a medical practice is essential for accuracy, efficiency, and compliance. It can help reduce errors and omissions, improve billing and reimbursement rates, and provide more detailed reporting. By incorporating HCC coding, medical practices can ensure that they are delivering the highest quality of care to their patients.


Do you want to learn about DoctusTech App? It’s an app which gives you the advantage to learn and master HCC Coding at your convenience. The DoctusTech app enables you to train whenever you want and has total transparency in clinician engagement, learning progress, and growth, so your team will know which clinician needs a little extra training. 


Book a free demonstration here and start training your medical practitioners.

How to improve HCC coding and avoid risks?

Healthcare providers and payers use the HCC coding system to identify the seriousness and severity of a patient’s medical condition. The main purpose of coding is to ensure that a patient receives good medical care and resources. 


If it is not performed correctly, then there will be some potential risks associated with HCC coding. Improper, incorrect, wrong, or incomplete coding could classify a patient as less sick, which could lead to inadequate care, improper payments to healthcare providers, or audits and fines and penalties paid to Medicare.


Here are some key steps that healthcare providers and coders can implement to improve HCC coding and avoid risks: – 


1 – Stay updated on coding guidelines – There are certain guidelines on HCC coding which can change or evolve over a period of time. It is important to stay updated with the latest guidelines, changes, and revisions. This can be achieved through regular training sessions or staying informed by reviewing resources such as CMS websites or other industry-related publications.


2 – Error-free documentation – Accurate and complete documentation is vital for HCC coding, as it properly identifies a patient’s condition and provides all the information that is needed by the patient and healthcare providers. In the end, all the relevant diagnoses, procedures, and treatments should accurately reflect the patient’s conditions in the coding document.


3  –  Regular auditsConducting regular audits is crucial to identifying potential errors and correcting them, and to avoid penalties, so that patients get the proper treatment. Regular audits can be implemented by internal staff or by third-party auditors. This includes a review of accuracy, documentation, and compliance requirements.


4 – Leveraging the technology – There are numerous online tools available which can help in HCC coding, these include coding software, EHR systems, and other electronic tools. These instruments can facilitate coding, lessen errors, and help in maintaining the consistency among different coders and providers.


Potential risks can be avoided by staying updated on current coding guidelines, changes, and compliance requirements. This will help to improve the quality, reliability, and accuracy of HCC coding. It is an important factor that reflects a patient’s health status and ensures he/she receives proper care and resources.


To know more about the list of HCC codes, you can also read our blog on “What Is HCC Coding ?

How to Improve Risk Adjustment Factor Score Accuracy

Medicare risk adjustment factor score accuracy is an important measure of the quality of care provided by healthcare providers. By understanding and applying proven strategies to improve RAF score accuracy, healthcare organizations can demonstrate their commitment to quality care and improve overall patient outcomes. In this article, we’ll look at 10 proven ways to increase your Medicare risk adjustment factor score accuracy. These strategies include optimizing patient care processes, leveraging data-driven insights, investing in technology, and building strong relationships with patients, care teams, and payors. With the right approach, healthcare providers can improve their Medicare risk adjustment factor score accuracy and create more value for their organization.

Optimize Patient Care Processes

To improve your risk adjustment factor score accuracy, start with the basics by optimizing patient care processes. This includes reducing unnecessary tests and procedures, improving adherence to treatment protocols, and managing patient expectations around outcomes. For example, make sure patients follow treatment plans for conditions like diabetes and heart disease. These conditions require ongoing care and self-management. Poorly managed conditions can lead to complications and costly readmissions. Best practices include clearly communicating expectations to patients and providing them with tools and resources to help them manage their condition. This can also help to improve your readmission rates. Hospitals with lower readmission rates have higher risk adjustment factor score accuracy

Leverage Data-Driven Insights

To drive better outcomes, healthcare providers must have a clear understanding of what’s working and what isn’t. Use data to identify areas for improvement and then create action plans to address them. For example, review readmission data to identify the root causes of readmissions. Then use this information to create interventions or best practices to help improve patient outcomes. Find ways to collaborate with other organizations in your area. This can help you gain access to a wider range of data and insights. Find opportunities for partnerships with other healthcare providers. These partnerships can help you gain access to patient information and clinical data that can inform your decision-making and help you improve care.

Invest in Technology

New technologies are transforming how healthcare providers deliver care and how patients manage their health. Investing in these technologies can help healthcare providers improve outcomes and reduce waste. This can also help to improve your risk adjustment factor score accuracy by reducing readmissions and freeing up staff time to spend with patients. Find ways to implement technology throughout the patient journey. Start with areas where it can have the biggest impact. For example, use wearable devices to monitor patient vital signs and provide real-time feedback to care teams. This can help to reduce unnecessary readmissions by providing earlier alerts when patients are showing signs of deterioration. Find creative ways to use technology to improve patient satisfaction. Initiatives like digital check-in and virtual visits can help to reduce wait times, improve patient experiences, and reduce the overall cost of care.

Build Relationships with Patients, Care Teams, and Payers

Strong relationships with patients and care teams can help healthcare organizations achieve better results. This includes improving the relationship between physicians and patients. Relationships are also important with payers. Engage with your payer community and educate them about your clinical performance. Be transparent about your results and work to improve them over time. For example, work with payers to improve billing and coding practices. This can help to reduce your risk adjustment factor score accuracy by improving your Medicare reimbursements. Find ways to better engage patients with chronic conditions. This includes providing patients with tools and resources to help them manage their conditions. It also includes providing them with regular feedback on their progress.

Improve Patient Outcomes

These strategies can help to improve patient outcomes, which will also help to improve your risk adjustment factor score accuracy. For example, help patients adhere to their medication regimens by using effective strategies like regular check-in calls or SMS reminders. Find ways to optimize the use of specialists. This includes diagnostic imaging services and intensive care unit visits. Find ways to reduce patient wait times. This includes reducing the time spent in the emergency department and the time spent in the hospital. It can also include reducing the wait times for physician appointments. Find ways to increase patient safety. Adverse patient events are an important measure of the quality of care. By finding ways to reduce the number of adverse patient events, you can improve your risk adjustment factor score accuracy by as much as 8%.

Use Quality Improvement Tools

Find ways to incorporate quality improvement tools into your operational processes. This can include adopting a standardized process for managing patient care. It can also include adopting a standardized process for measuring and improving patient outcomes. Use tools like the 9 Wards method. This is an evidence-based method for improving patient safety by reducing the number of adverse events. It can be used in any healthcare setting. Find creative ways to use simulation and role-playing exercises to identify and work to improve system-wide issues. This can help to improve communication between different departments and improve the consistency of care across your organization.

Increase Physician Engagement

Strong physician engagement can help improve patient outcomes and clinical outcomes. It can also help to reduce readmissions. For example, make sure physicians are following their patients. This includes timely follow-ups and regular communication with patients after they have left the hospital. Find creative ways to build stronger relationships with physicians by incorporating them into decision-making processes and involving them in your organizational improvement efforts. Find ways to recognize and celebrate physicians for their clinical achievements. This can help to improve physician engagement and boost morale.


With the Doctus Tech App, clinicians can greatly improve their risk adjustment factor (RAF) score accuracy. This app provides a comprehensive suite of tools and resources that give clinicians the ability to better manage their patient data for more accurate risk adjustment. By leveraging the features of this app, clinicians can customize their approach to risk adjustment in order to optimize their score and make sure they are adequately reimbursed. Furthermore, this app is designed to be user-friendly and easy to use, making it a great resource for those looking to maximize their RAF score accuracy without having to be familiar with the complexities of risk adjustment processes.

Value-Based Care Revenue and Outcomes: Impact of HCC Coding and RAF

Diagnosing for risk in VBC is the unsung hero fixing healthcare behind the scenes. In this blog, we dig into diagnosing for medical complexity & documenting with ICD-10 codes. 


Diagnosing for medical complexity

Physician diagnoses patients with all medical conditions.


One shift when transitioning to Value-Based Care is the need to diagnose very specifically for complexity, rather than simply diagnosing a disease. In the old Fee-For-Service (FFS) model, it would be reasonable to diagnose simply diabetes mellitus. In a VBC model, it would serve the patient better to diagnose with a high degree of specificity—type 2 diabetes mellitus with neuropathy—to fully capture the complexity and severity of the disease, ensuring that all conditions are documented and the plan of care is executed accordingly. 


“Medical complexity” is another way to say “How hard is it going to be to keep this patient out of the hospital?”


For patients with very mild chronic conditions, it is often easier to manage their symptoms, keep them on their meds, and keep them healthy; thus, not requiring intensive medical resources. Comparatively, patients with very complex diseases can be very resource-intensive, and require a great deal of time, attention, services, and oversight to manage their chronic conditions and maintain their health. Therefore, these patients with more complex disease states are reimbursed at a higher rate, to allow for more intense and expensive care.



Documenting with ICD-10 Codes

Diagnoses are documented with the appropriate ICD-10 codes


ICD-10 codes are still the backbone of medical diagnoses, and typically the only codes used in a VBC arrangement. So the diagnosis coding that was learned in FFS arrangements is still at play, just with a slightly different focus – especially, when diagnosing chronic conditions.


Hierarchical Condition Categories are a subset of ICD-10 codes, therefore not all ICD-10 codes map to HCC codes. Each risk-adjusting diagnosis will alter the patient’s risk profile, with the more serious conditions increasing RAF score more than less serious. But some HCCs supersede others when they are within the same category. For example, E11.9 – diabetes without complication will add 0.11 to the patient’s risk score, but E11.22 – diabetes with chronic kidney disease will add 0.33. As the codes are hierarchical by category, the highest diabetes score will be the one passed along to the patient’s total RAF – not both. 


Risk follows the patient, not the provider

The risk score of a patient is tied to the patient themselves, not the provider. Diagnoses submitted to medicare by any clinician anywhere will add to the patient’s risk profile. Each patient has just one PCP assigned to them when they join a managed care plan, and that PCP will receive payment for that patient’s care, as they are the one taking on risk. 


New HCC Coding Cheat Sheet for 2022

Here is the cheat sheet you’re looking for: DOWNLOAD 


ICD-10 codes are hard. Knowing which codes to use for Risk Adjustment in your Value-Based Care is even harder. And even the best available clinician training rarely yields lasting behavior change. Your team needs a resource in your pocket, but a cheat sheet isn’t the best available. 


A cheat sheet for ICD-10 codes can include a list of the codes and their descriptions, as well as common scenarios and the corresponding codes that should be used. 


Having a cheat sheet can also help you quickly look up any unfamiliar codes so that you can make sure you are using the correct ones. Some cheat sheets may even include helpful tips on how to use the codes, which can be very useful for those who are just learning about ICD-10 coding. 


So, if you are dealing with ICD-10 codes, having a cheat sheet can be a great way to stay organized and make sure you are using the correct codes.


Is it a cheat sheet if it helps provide better care to patients?


Absolutely not! First of all, it can help streamline the process of coding diagnoses and treatments. By having an easily accessible reference guide for ICD-10 codes, healthcare providers and coders can quickly look up the correct codes for their documentation. This saves time and can help ensure that all pertinent information is accurately and properly coded.


Secondly, an ICD-10 code cheat sheet can help to improve accuracy in medical coding. Medical coding is a complex process, and mistakes can be costly. An ICD-10 code cheat sheet can provide coders with a quick reference to ensure that they are using the correct codes for diagnoses and treatments. This can help reduce errors and improve patient care by ensuring that all relevant information is accurately and properly coded.


Finally, an ICD-10 code cheat sheet can help ensure that all necessary information is documented in a timely manner. By having a handy reference guide for ICD-10 codes, healthcare providers and coders can ensure that all necessary information is recorded quickly and accurately. This can help speed up the process of providing care to patients and ensure that their records are up to date.


In summary, an ICD-10 code cheat sheet can be a valuable tool for providing better care to patients. It can help streamline the process of coding diagnoses and treatments, improve accuracy in medical coding, and ensure that all necessary information is documented in a timely manner.


Why are so many clinicians searching for a cheat sheet?


ICD-10 codes are extremely complex and can be difficult to keep track of, and everyone wants to make their jobs easier and accurate. Clinicians too are often looking for quick and easy ways to access the codes they need quickly and easily. A ICD-10 code cheat sheet is a great way to do this. 


For example, there may be codes related to infectious diseases, cardiovascular diseases, etc. This cheat sheet allows clinicians to quickly find the code they need without having to search through a long list of codes. 


The other advantage of a ICD-10 code cheat sheet is that it can be used to check for accuracy. If a clinician suspects that a code might not be correct, they can quickly refer to the cheat sheet to double-check the code before submitting it for billing purposes. This helps ensure that the code is accurate and helps avoid any issues with billing. 


Get your ICD-10 code cheat sheet now!


Here are two simple resources that you can use to quickly and efficiently locate and select the most appropriate ICD-10 code when diagnosing chronic conditions for patients in a risk arrangement.


The DoctusTech HCC Quick Guide: A simple PDF with the HCC codes for the most frequently diagnosed conditions. 


The DoctusTech App – the best code finding lookup tool for VBC, complete with insights on connected conditions and proper documentation requirements.


How to wean your clinicians off HCC coding cheat sheets

As a healthcare provider, you know the importance of accurately and consistently documenting diagnoses, but not just to align revenue – there is a far greater reason for specific, accurate HCC coding: patient care. One thing that is often overlooked when calculating RAF scores is the simple fact that Risk Adjustment Factor is the simplest way to track a patient’s critical health: how difficult will it be to keep this patient alive? 


If you consider the RAF as an indicator of the life of your patient, and your patient population, then properly diagnosing, documenting, and calculating RAF makes a lot more sense. This simple number tells a complex story, and it is vital to the health and lives of your patients – which is why proper HCC documentation is critical, and having instant access to the right HCC code is of utmost importance. 


One way that many clinicians have traditionally done this is by using HCC (Hierarchical Condition Category) coding cheat sheets. These sheets provide a list of diagnoses and the corresponding HCC codes, making it easy for clinicians to find the right code for a particular diagnosis.


While HCC coding cheat sheets can be useful in the short term, relying on them too heavily can lead to problems in the long run. Here are a few reasons why you may want to consider weaning your clinicians off of HCC coding cheat sheets:


Cheat sheets can be outdated: HCC codes change frequently, and cheat sheets may not always be updated to reflect the most current codes. This can lead to incorrect coding, which can result in denied claims or underpayment.


Cheat sheets can promote a lack of understanding: Clinicians who rely heavily on cheat sheets may not take the time to fully understand how HCC coding works. This can lead to errors in coding and a lack of confidence in their coding abilities.


Cheat sheets can be a crutch: It’s important for clinicians to be able to code diagnoses accurately without relying on cheat sheets. This requires a strong understanding of HCC coding and the ability to think critically about how to code different diagnoses.


So, how can you wean your clinicians off of HCC coding cheat sheets? Here are a few suggestions:


Provide enhanced training: Consider offering HCC coding training to your clinicians to help them understand the coding process and develop their coding skills. This can be done through in-person training sessions or online courses.


Encourage critical thinking: Encourage your clinicians to think critically about how to code diagnoses and to use resources like official coding guidelines and the ICD-10 manual to help them determine the correct codes.


Use coding software: Many electronic health record (EHR) systems have built-in coding tools that can help clinicians determine the correct codes for diagnoses. Encourage your clinicians to use these tools to help them become more confident and accurate in their coding.


By taking these steps, you can help your clinicians develop strong coding skills and break their reliance on HCC coding cheat sheets. This will lead to more accurate coding, better reimbursement, and improved patient care.

How HCC coding and RAF impact Value-Based Care Revenue

The relationship between medical complexity, documentation, risk, innovation, and revenue is actually far more simple than it sounds.


We are often asked very broad questions about how all of the moving pieces of VBC work together. How does highly specific and accurate diagnosing with HCC codes relate to patient care? Do HCC codes help patients, or is coding just to generate revenue? How do you avoid under-coding, or over-coding, and harden your charts for an audit? What is the role of the clinician, when there are also coders? How do you educate clinicians on HCC coding, when they barely engage in the seminars? How should clinicians view HCC coding and RAF scores as a component of patient care? 


There are a lot of questions. So in this series of blogs, we are going to lay out a robust and thorough explanation of each piece of the VBC puzzle, share how they relate and impact each other, and by the end, you will have a thorough understanding of both the VBC space and your role in it. 


First, a word about risk. Upside risk, downside risk, two-sided risk, quality scores, stars… there are only really a few things you need to know about risk.

In Value-Based Care, when you take on risk for a patient population you are making a wager. 


Your organization wagers that they can both run a business and keep a patient population healthy for a predetermined dollar amount, set by CMS. If you are caring for a very sick patient population, you will need more resources. And the wager is that your organization can provide effective care within the budget. This incentivizes a care team to keep patients healthy, rather than only treating them when they get very sick. 


The organization that takes on risk is reimbursed in a capitated payment model, paid per-member, per-month (PMPM), based on the Risk Adjustment Factor (RAF) of your patient population the year before. That score is the sum of all RAF scores from the patients in your VBC contract. The RAF score of each patient is the sum of all the diagnosed chronic conditions, documented with Hierarchical Condition Category codes (HCC codes) that risk adjust. CMS payment models typically pay for conditions diagnosed the previous year.


Over the next few weeks, we are going to dig deeper into four central concepts in Value-Based Care, with special attention paid to how each piece impacts patient care. 


– Diagnosing for risk in VBC

– The basics of RAF and how it is calculated. 

– How RAF and Revenue drive Patient Care and Innovation

– RAF, Revenue, Audits and the DOJ


To our VBC clinicians, thank you for the work you’re doing to move patient outcomes to the forefront of healthcare. Thank you for truly caring for your patients – and for your patients with all the required learning, coding and documentation. It matters, you matter, and your healthy patients will thank you.


To our VBC admins, operators and physician executives, your management of all the moving parts and pieces is critical to achieving the pivotal shift from fee-for service to a value-based model. Thank you for your commitment to patient-centric care and clinician satisfaction. Without you at the helm, the system would never change. 

So Your Team Downloaded Our Cheat Sheet…

We get it, HCC coding is hard: choosing the right HCC is nuanced, and can seem subjective. But when you see a patient, you are probably not reaching for a cheat sheet on how to diagnose this patient, right? How is it that HCC coding sent you searching for a cheat sheet?


And learning another new thing is hard, especially when the connection between caring for your patients and coding for VBC can seem tenuous at best. (It’s not, we promise.)


It is possible that the training you have received around HCC coding was not great. Learning HCC coding for VBC in a seminar is almost impossible – and the last several years of zoom seminars has exacerbated an already bad situation. Do you get emails with certain codes to focus on – the “Code of the Month Club” or the like? Do you occasionally get one-on-one coaching and chart reviews, but it is infrequent and perhaps does not match your learning style?


Knowing which code to use when diagnosing is nuanced, and the rules around HCC coding are very strict. Practicing medicine is an art, but the hard edges of HCC coding compliance and rigorous documentation are a very strict science. Less art, more math. And nobody went to medical school because they love math. And most of all, when you are moving fast to get to your patients, the last thing you want to do is dig for a code that is only meaningful for the billing department, and has very little bearing on how you treat your patients. 


Strategies on how to diagnose and document for VBC are not clear. It can seem like you are practicing coding and not medicine. But there is a deep truth in HCC coding that is often not communicated in training: diagnosing for risk is one of the most important steps in caring for your patients. 


Diagnosing for risk is a vital step in caring for your patients, and it has nothing to do with revenue. When CMS determines the guidelines around risk, a very simple metric is often overlooked: risk is just another way to say “how likely is it that this disease will kill my patient?” Risk Scores, Risk Adjustment Factors, the hierarchies within Hierarchical Condition Category coding – these are all just means of determining how dangerous and serious a condition is, and that should help you prioritize and treat your patients better, with better outcomes. And, to put it simply, better survival rates for your patients. 


HCC coding for Risk is just a data-centric approach to prioritizing care for your patients. Better care for the individual patient, because you captured every relevant diagnosis code, documented and planned care around those diagnoses. Better care for your entire panel, because you know the weighted risk of each patient, and can prioritize accordingly. And better care for your organization, because resources are available to provide care where it is needed most. 


But again, coding and documentation are daunting, and can seem insurmountable – hence, the need for a cheat sheet.


But what if we told you that there was hope for this situation? A brighter day is coming. 


Somewhere on your team, somebody is evaluating the DoctusTech HCC Coding education app, which was designed by doctors to help you master diagnosing for VBC in a fun and engaging app. And after the initial evaluation, it only takes about 5 minutes a week to achieve full HCC coding mastery. And the best part is that it’s not only NOT BORING, it’s actually engaging, competitive, and please verify this – FUN. 


If nobody on your team is evaluating the DoctusTech app, somebody’s got to do it. If that’s you, great – download it here, and book some time with our team to see it in action. If there’s somebody you think should be evaluating the DT app, please share it with them, they will thank you.