On April 1, the Centers for Medicare & Medicaid Services (CMS) released the Final Announcement outlining changes to the HCC Payment model for Medicare Advantage Plans and PACE Programs for Payment Year 2020. The HCC model used to calculate risk scores for PACE will change from the version used since 2012 (Version 21) to the 2017 model known as Version 22.
Tag Archives: "CMS-HCC Risk Adjustment"
Diagnosing and Coding for Chronic Kidney Disease
Diagnosing and Coding for Chronic Kidney Disease
By: Angie Hlad, CRN-C, Risk Adjustment and Coding Coordinator
Chronic kidney disease (CKD) is the gradual, and often permanent, loss of kidney function. It is a progressive condition that can result in significant morbidity and mortality. The condition is common in the elderly , and impacts the PACE population. Nearly 50% of individuals over 70 years old meet the definition of CKD…
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