HCC Risk Adjustment

The secret to successful long-term risk adjustment for your Medicare Advantage plan is to properly educate your providers as to the value of complete and accurate HCC risk adjustment coding of every member, every year.

The Medicare HCC risk adjustment payment system uses clinical coding information (HCC) to calculate risk premiums for Medicare Managed Care Organizations. The single most important action your plan can take to improve both quality of care and ensure proper payments from CMS is mastery of HCC risk adjustment.