For example, CMS calculates predictive ratios by decile of predicted spending, groups of HCCs, and count of HCCs, among other categories. We calculated predictive ratios by decile of ACO average ...

KEY TAKEAWAYS CMS proposed coding changes that include the removal of more than 2,000 codes from the HCC model. This change means that more specificity in code assignment will be required in a ...

Accurate HCC coding is critical for patient risk adjustment, as it directly impacts reimbursement models and financial sustainability in value-based care. However, studies indicate that as many as ...

LEWES, Del., April 22, 2025 (GLOBE NEWSWIRE) -- John Snow Labs, the AI for healthcare company, today announced its new end-to-end Hierarchical Condition Category (HCC) coding engine designed to ...