Posted on

7 Strategies to improve HCC coding and risk adjustment accuracy

Healthcare is a dynamic and complex industry, constantly evolving to provide the best possible care to patients. In this ever-changing landscape, accurate Hierarchical Condition Category (HCC) coding and risk adjustment in the value-based care healthcare model play a crucial role in ensuring quality care, managing patient populations, and optimizing revenue. Here are 7 strategies to improve HCC coding and risk adjustment accuracy in your VBC organization.

1. Streamlined clinical workflows

Streamlined clinical workflows reduce administrative burdens and free up healthcare providers to focus on patient care. Efficient workflows can also aid in capturing HCC codes more effectively. Organizations should evaluate and optimize their workflows to ensure that providers have the time and resources necessary for accurate coding.

2. Regular coding audits and feedback

Regular coding audits are essential for identifying errors and areas for improvement. They help organizations ensure compliance with coding guidelines and enhance accuracy. Feedback from audits can guide coders and providers in refining their coding practices. These audits can be conducted regularly, and the findings should be used constructively to improve the coding process.

3. Data analysis

Data analysis is an invaluable tool in risk adjustment. By analyzing patient data, organizations can identify gaps in coding and areas for improvement. Data-driven insights can help pinpoint under-documented conditions, ensuring that all relevant HCCs are captured. This analysis also helps organizations gain a deeper understanding of their patient populations.

4. Comprehensive provider education

Healthcare providers are at the frontline of patient care, and their understanding of the importance of accurate HCC coding is paramount. Comprehensive education programs ensure that healthcare professionals are well-informed about the significance of documenting chronic conditions accurately. By equipping providers with the knowledge and tools they need, organizations can improve coding at the source. 

One of the leading HCC coding education providers in this space is DoctusTech. It’s an app that clinicians can use to learn and stay updated about HCC coding. Book a demo to earn how DoctusTech helps healthcare providers train clinicians.

5. Proper documentation training

Training healthcare professionals in the nuances of proper documentation is vital. These training programs help providers understand the specific details required for accurate HCC coding. Coding specialists or educators can play a significant role in delivering this training, ensuring that providers are well-equipped to document patient conditions comprehensively.

6. Advanced EHR and documentation tools

Electronic Health Records (EHRs) have become integral to healthcare documentation. Implementing advanced documentation tools within EHR systems can prompt providers to capture relevant HCCs during patient encounters. These tools can offer real-time suggestions and guidelines, aiding providers in accurate coding.

One of the revolutionary tech solutions for improving HCC code capture is DoctusTech. It makes it easy for clinicians to accurately document HCC codes for every patient within their own EMR. DoctusTech HCC 360 streamlines EMR workflows by combining all external data sources and presenting information to clinicians as they write their progress notes. It can integrate with all major EMRs with minimal hassle. Book a demo here to learn more about this product.

7. Collaboration and communication

Effective communication and collaboration between coders, providers, and administrative staff are vital for HCC coding accuracy. Open channels of communication allow providers to seek clarification or guidance on coding, and coders to provide feedback or request additional information when necessary. This collaborative approach fosters a culture of accuracy and ensures that everyone is working together towards the common goal of improved coding.

In conclusion, accurate HCC coding and risk adjustment are essential for healthcare organizations to deliver quality care while optimizing revenue. These seven strategies – comprehensive provider education, advanced EHR tools, streamlined workflows, regular coding audits, proper documentation training, data analysis, and collaboration – collectively form a robust framework for enhancing coding accuracy. By implementing these strategies, healthcare organizations can meet the challenges of the evolving healthcare landscape while improving patient care and financial outcomes.

As the healthcare industry continues to evolve, following these 7 strategies to improve HCC coding accuracy. By investing in accurate HCC coding and risk adjustment, healthcare organizations can ensure that they are well-prepared to provide the best care to their patients while achieving financial sustainability in an increasingly complex healthcare ecosystem.

To improve your HCC coding accuracy with the DoctusTech app.

Posted on

DoctusTech Helps: Deploy HCC coding education across your organization

HCC coding accurately estimates future healthcare costs while improving patient care. But like any other tool, it’s only effective if the people who use it master it.

 

Without comprehensive education, even the most advanced coding tools can fall short. That’s where DoctusTech comes in, providing the support and resources to help your organization implement HCC coding education effectively.

 

In this article, we will share how you can use our learning app to deploy HCC coding education across your organization. 

  

Empowering Your Team with HCC Coding Education

 

At DoctusTech, we are always eager to assist healthcare organizations in boosting HCC training programs. Our unique approach, which focuses on solving the three shortcomings of risk adjustment—the data gap, the workflow gap, and the knowledge gap—is critical and sets us apart from other solutions. 

 

Most available solutions address only the data or workflow gaps. However, if your clinicians don’t have the right knowledge, you won’t obtain the outcomes you desire, no matter what you do to resolve the data and workflow issues. We strongly believe that if you resolve HCC coding knowledge challenges, you will also fix your data and workflow issues along the way.   

 

The DoctusTech Mobile App is designed based on our successful HCC education and retention strategy, which relies on clinical vignettes customized to the clinicians’ strengths and weaknesses, sent to their mobile phones weekly. With a 90% engagement rate, the DoctusTech App’s results far surpass any other learning tool, technology, or strategy.   

 

According to the learning data, we consistently increase RAF accuracy after they start using the app for HCC coding education.    

 

How Does DoctusTech Mobile App Achieve This?   

 

 

Clinicians can use our app to gamify their learning experience, engage with their peers, compete for real prizes, and receive administrative support. Our app also comes with the most sophisticated HCC code search tool available. In addition, clinicians earn 25 CME hours every year as they learn HCC coding in a non-boring app!   

 

Also, our app offers weekly, personalized training that provides valuable insights about the clinicians’ progress.

 

This data-driven approach helps identify knowledge gaps, enabling more focused coaching for continuous improvement and ensuring your team is always growing and learning.

Clinical Vignettes – The secret sauce!  

 

Most doctors who have just graduated from medical school or residency programs know little to nothing about coding for risk adjustment and value-based care. In the past, these clinicians were forced to sit in seminars and learn the correct codes to diagnose and document them properly. 

 

Every other important medical fact is learned in clinical vignettes, so clinicians have difficulty retaining and applying information learned in boring seminars or email blasts. Simply put, incorporating new HCC codes into daily practice is hard – which is why the DoctusTech HCC coding education app is so vital.    

 

Doctors prefer to learn using the Socratic method, clinical vignettes, and question-and-answer sessions because it is the most effective way to capture long-term knowledge gain. This is how doctors are educated, and this is the best way. 

 

DoctusTech enables them to learn HCC coding in the same manner—from other doctors, using clinical vignettes on their own time, requiring only an average of five minutes per week.   

 

Get in touch to learn more about how DoctusTech helps!