Difference between revisions of "HCC"
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'''Set Up:''' | '''Set Up:''' | ||
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+ | HCC is an additional function that requires a per provider cost. | ||
Enterprise-Level Charge Preferences - Hierarchical Condition Category (HCC) Checking Turned On | Enterprise-Level Charge Preferences - Hierarchical Condition Category (HCC) Checking Turned On |
Revision as of 23:08, 27 October 2010
HCC Highlights
- Used to report Hierarchical Condition Categories for Medicare Managed Care Plans
- Physicians receive higher capitation rates when they include HCC codes
- Allscripts contracts with 3M Health Information Systems to obtain HCC diagnosis data. The data is passed through the Delta process.
- Patient's Insurance must be a Medicare managed care plan
- HCC will appear red until has been assessed during the calendar year, once assessed it will appear with a green check mark, after that calendar year (January 1) it will turn red again
- HCC Indicator will appear within the patient's active problem list and will display whether or not the problem has been assessed or not (for the calendar year)
- There are no documented changes in functionality or display of HCC codes from version 11.1.6 to 11.1.7
Set Up:
HCC is an additional function that requires a per provider cost.
Enterprise-Level Charge Preferences - Hierarchical Condition Category (HCC) Checking Turned On
Insurance Class needs to be set to "Medicare Managed Care"
Contact Allscripts to purchase HCC module and have this function enabled