Hierarchical Condition Category (HCC) Program Leads to Millions in Revenue

In this webinar, you can learn about implementing Hierarchical Condition Category (HCC) coding alerts to suggest clinically appropriate codes not previously documented. Community Health Network realized a financial impact of more than $13 million. They made this positive financial impact by:

  • Implementing new Hierarchical Condition Category (HCC) Coding approaches that allow for scoring and classifying of at-risk members to help more accurately estimate costs for the next year of coverage, thereby impacting next year's payments.
  • Improving risk scores by focusing on providing cognitive activity within the workflow with clinical decision support engine evaluations.
  • Recognizing 35 new actionable HCC alerts resulting in a 40 percent average follow rate.


Patrick McGill

Patrick McGill
EVP Chief Transformation Officer, Community Health Network


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