Q&A: Finding documentation for HCC reporting purposes

September 12th, 2017

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article addresses a common documentation question about hierarchical condition category reporting and whether diagnoses may be supported from different parts of a clinical note. It is aimed at coders, CDI professionals, and physician practice staff who work with risk adjustment documentation review. The discussion stays at a high level and focuses on general documentation concepts, including how coding guidelines interact with HCC review and the kinds of note content that may support reporting.

Why This Topic Matters

HCC reporting depends on accurate, supportable diagnosis documentation. Understanding the general documentation locations and review concepts discussed here can help coding and clinical staff evaluate whether a condition is documented sufficiently for reporting.

What You Will Learn

  • How the article frames documentation review for HCC-related diagnosis reporting
  • Which general note components are discussed as potential sources of support
  • How the article characterizes the relationship between standard coding guidelines and HCC review
  • What high-level documentation concepts are mentioned in relation to condition support

Who Should Read This

  • Medical coders
  • Risk adjustment coders
  • CDI professionals
  • Physician practice administrators
  • Clinical documentation staff

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