What does the acronym HCC stand for?

What does the acronym HCC stand for?


Acronym Definition
HCC Health Care Coordination (health insurance)
HCC Home Continuing Care
HCC Hazard Characteristic Code
HCC Haitian Centers Council, Inc.

What does HCC mean in mental health?

Hierarchical Condition Category (HCC) Coding: Depression Does this patient have Depression? When a person has a depressive disorder, it interferes with daily life, normal functioning, and causes pain for both the person with the disorder and those who care about him or her.

What is an HCC score in healthcare?

HCCs are a grouping of clinically related diagnosis with similar associated cost to the healthcare system. Only those ICD codes that map to an HCC category are used in the risk adjustment processing system. Not every diagnosis will “risk adjust,” or map to an HCC in the Medicare risk adjustment model.

What are HCC conditions?

What is hierarchical condition category (HCC) coding? Hierarchical condition category (HCC) coding is a risk-adjustment model originally designed to estimate future health care costs for patients.

What does HCC risk code mean?

A Hierarchical Condition Category (HCC) is defined as a risk adjustment model that is used to calculate risk scores to predict future healthcare costs. It is only after a full year of accumulating medical expenses that accurate predictions for future healthcare utilization can be made.

What is HCC heart failure?

An HCC is a category of disease type (e.g., congestive heart failure) with multiple individual ICD-10 diagnoses that map to that HCC category.

Is depression an HCC?

Code category F33 (HCC 59) indicates major depressive disorder, recurrent. Both of these code categories require fourth digits to indicate the severity or provide remission status.

What diagnosis adjusts risk?

Demographic factors used in addition to diagnoses for risk score calculation include:

  • Age.
  • Sex.
  • Socioeconomic status.
  • Disability status.
  • Medicaid eligibility.
  • Institutional status.

What is an HCC risk score?

The CMS-HCC risk score for a beneficiary is the sum of the score or weight attributed to each of the demographic factors and HCCs within the model. The CMS-HCC model is normalized to 1.0. Beneficiaries would be considered relatively healthy, and therefore less costly, with a risk score less than 1.0.

What is the purpose of HCC?

A Hierarchical Condition Category (HCC) is defined as a risk adjustment model that is used to calculate risk scores to predict future healthcare costs. The Centers for Medicare and Medicaid Services’ (CMS) CMS-HCC model is used to predict healthcare spending for Medicare Advantage Plan enrollees.

What is HCC gap?

HAP has a Hierarchical Condition Category, or HCC, gap closure program. An HCC is a group of diagnoses used by CMS in their risk adjusted reimbursement model for Medicare Advantage plans. These codes are the primary indicators of a member’s health status. Most HCCs are conditions that tend to be chronic in nature.

What is HCC cardiac?

Cardiovascular Conditions and Hierarchical Condition Category Coding. There are multiple cardiovascular conditions associated with Hierarchical Condition Category (HCC) codes. Risk adjustment hierarchies exist between some of these conditions.