BC Advantage - 2015 Issue 5

HCCs: What Are They... And What Do They Mean?

In the changing world of Medicare Advantage plans, HCCs are taking the place of ICD-9-CM codes as well as setting the stage for the incoming ICD-10-CM codes. To know where we are going, first we have to know where we have been. This article will introduce you to the HCC history, background, and models that Medicare Advantage plans are now using to service chronic care patients.What does a standard Medicare Plan Pay For? Medicare, as we all know, is a federal health insurance plan that consists of four parts:Part A: Inpatient Hospital, Inpatient Skilled Nursing Facility Care, Inpatient...

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