605: The Dx on HCC: How Medicare Advantage Plans and ACOs Create New Compliance Risk for Physicians  


Kevin McPoyle, Director of Compliance, Jefferson Community Physicians - Northern Division

  • Let’s delve into the CMS Hierarchical Condition Categories (HCC) Risk Adjustment system which is a primary driver of Medicare Advantage and Accountable Care Organization payments
  • Explore how HCC coding can expose physicians to financial and regulatory requirements, as well as have an impact on their professional fee billing
  • Learn how HCCs have impacted physician documentation and work flow, and the compliance risks that must be managed under this system

Presentation & handouts

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