Risk Adjustment Coding: Why HCCs Are Every Coder’s Business Now

For years, hierarchical condition category (HCC) coding lived in a specialist corner — the domain of Medicare Advantage risk-adjustment teams. That era is over. With value-based contracts spreading across payers…

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E/M Leveling in Practice: Choosing Between MDM and Time

Since the office-visit overhaul, evaluation and management levels rest on two alternative pillars: medical decision-making or total time on the date of the encounter. Coders may use whichever supports the…

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