To better prepare Community Health Centers for Value Based Reimbursement, Jackie King will review the definition and premise behind the reporting of Hierarchical Condition Category (HCC) ICD-10-CM codes to Medicare and other payers, including documentation and coding requirements, and how HCC codes affect beneficiary Risk Adjustment Scores.

In addition, she will review the “ICD-10-CM Official Guidelines for Coding and Reporting” as they relate to the Social Determinants of Health (SDOH) category of “Z-Codes.” These Social Determinants of Health reflect the conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. We will discuss methods to support accurate documentation and coding capture for reporting on Community Health Center claims now and in the future.

Overview:

·       HCC-Hierarchical Condition Categories defined

·       Methodology of HCC Capture-Documentation and Coding

·       Overview of SDOH-Social Determinants of Health

·       Methodology of SDOH Capture –Documentation and Coding

Presenter:   

Jackie King, MSHI, CCS, CPC, COC, CRHCP

Vice President of Hospital Education / ICD-11 Readiness Expert, ArchProCoding 

Visit chcact.org for more information.