Success Story: Focus More on Care and Less on HCC Coding

Community Health Network sees financial impact of more than $11 million


Although challenging, delivering value-oriented care through the transition from fee-for-service is an essential benchmark for organizations within population health. To optimize success, hospitals must factor in quality scores, risk adjustment and utilization management with a specific focus on accurate coding and documentation for proper reimbursement.

Download our success story to gain insights on how Community Health Network made a positive financial impact by:

  • Implementing new Hierarchical Condition Category (HCC) Coding approaches with real-time software using chart data
  • Improving risk scores by focusing providing cognitive activity within the workflow with clinical decision support engine evaluations
  • Recognizing 10 new actionable HCC alerts resulting in a 57 percent average follow rate

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