HCCs, like DRGs and APCs, are based on clinical documentation and the codes assigned. Specific coding is a necessity and the coding professional must be proactive in addressing documentation deficiencies. Join Rose T. Dunn, MBA, RHIA, CPA, CHPS, FACHE, FHFMA, FAHIMA, as she goes beyond an overview of Medicare Advantage Hierarchical Condition Categories to answer the following questions:
- What are HCCs?
- Which conditions trigger HCCs?
- What is the RAF and how are RAFs calculated?
- How will the role of the coding professional change?
- What is changing with HCCs?
Ms. Dunn is Chief Operating Officer of First Class Solutions, Inc. of St. Louis, Mo. Rose started her career as Medical Records Director at Barnes Hospital, a 1,200-bed teaching hospital in St. Louis. She was promoted to Vice President at Barnes and was responsible for more than 1,600 employees. After Barnes, she worked for MetLife as their national AVP of Provider Relations, Customer Service, and Medical Management. Rose also served as the CFO of an Illinois dual hospital system. Currently, she assists clients improve the operational performance of HIM, Coding, CDI, and other revenue cycle departments. She is an AHIMA Distinguished Member award recipient and has served as President and CEO of AHIMA. She is active in ACHE, AICPA, HFMA, and AHIMA. Rose has authored more than a dozen texts, published 200+ articles, and has made numerous presentations on a variety of revenue cycle related subjects.
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