HCC code list?

jschoonhovenjschoonhoven
edited April 2016 in CDI Talk Archive
I have spent > hour searching the web for a current HCC list of (Hierarchical Condition Codes). Is this really that hard to find, or could someone help me with where to look?
Thank-you in advance!
Janice

Janice Schoonhoven RN, MSN, CCDS
Clinical Documentation Integrity
Manager- PeaceHealth Oregon West Network


Comments

  • katysuegood@gmail.comkatysuegood@gmail.com
    edited April 2016
    I am not sure what this is?

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404

  • jschoonhovenjschoonhoven
    edited April 2016
    It's what CMS utilizes as part of risk-stratification in the outpatient setting. There is good reason when we educate providers about inpatient documentation - to also have awareness of what is beneficial in their office setting. Increases their interest level.
    I want to utilize some of that terminology when creating Dictation Tools (lists of Medicare compliant terms for frequent specialty-specific diagnosis)so that it helps them in both settings.
    Hopefully I am grasping this accurately as it is a new area I am venturing into!
    Janice

    Janice Schoonhoven RN, MSN, CCDS
    Clinical Documentation Integrity
    Manager- PeaceHealth Oregon West Network




  • katysuegood@gmail.comkatysuegood@gmail.com
    edited April 2016
    Ahhh! I am not familiar with this but it sounds interesting. Let us know if you find anything. Happy hunting :)

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404

  • Unknown
    edited April 2016
    Kaiser uses HCC's so if you know someone from Kaiser, they could help.

    Linda Haynes

    lhaynes@lhs.org


  • jolene.filejolene.file
    edited April 2016
    Not familiar with HCC list.  I agree it would be very helpful for physician education as you explained in your reason to find.
    Wish could be of more help, Janice.  Good Luck!

    Jolene File,RHIT,CCS,CPC-H,CCDS
    Documentation Improvement Specialist-Coder
    Hays Medical Center
    jolene.file@haysmed.com

  • wendy.clesiwendy.clesi
    edited April 2016
    The attached document includes the current list of HCCs published by CMS fo=
    r FY 2012 & 2013. These dx can be captured in both the inpatient and outpat=
    ient settings and were initially designed for Medicare Advantage (HMO) capi=
    tated payments. The HCC list is also used for other Medicare payment models=
    (bundled payments, ACO payments) and is now being utilized by other payors=
    . The methodology and use of the codes varies between programs and payors.

  • jschoonhovenjschoonhoven
    edited April 2016
    Thanks to all for the information I have received on and off-blog. This is such a great venue to tap into our community expertise! I appreciate all of you.
    Janice

    Janice Schoonhoven RN, MSN, CCDS
    Clinical Documentation Integrity
    Manager- PeaceHealth Oregon West Network

  • kerryseekircherkerryseekircher
    edited April 2016
    I will have to read the journal. We use 3M CDIS at my organization and I just noticed that a reference tab was added for HCC's. There is a brief description but will definitely need more info.
    Kerry

    Kerry Seekircher, RN, CCDS, CDIP
    Documentation Specialist Supervisor
    Northern Westchester Hospital
    400 East Main Street
    Mount Kisco, NY 10549
    Email: kseekircher@nwhc.net
    Phone: 914-666-1243
    Fax: 914-666-1013

  • mannb1mannb1
    edited April 2016
    http://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/downloads/Advance2014.pdf


    I believe the above link speaks to HCC info, what they are, how they are used, etc. I think Kaiser here in California uses HCCs to manage their capitated senior population in their CDI program rather than the usual Cc/MCC/DRGs for CDI. Hope those interested find this useful.

    See you all @ ACDIS!

    Becky Mann,RN, CCDS
    Sutter Solano Medical Center
    Vallejo, CA
  • kerryseekircherkerryseekircher
    edited April 2016
    I just found this..

    http://www.cms.gov/Research-Statistics-Data-and-Systems/Research/HealthCareFinancingReview/downloads/04Summerpg119.pdf

    Kerry

  • wendy.clesiwendy.clesi
    edited April 2016
    CDI should focus on HCC capture in addition to CC/MCC capture that affect DRG payments. Accuracy of DRG assignment as well as capturing the additional risk adjustors on the HCC list will affect future bundled payment determinations.

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