Medical Group Management Association
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Medical Practice Excellence: Leaders Conference


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10/09 at 12:00 PM to 10/12/2022 at 12:00 PM

Practical Data Solutions

The newest addition to the financial manager’s tool box: the ability to connect HCC scoring and financial/quality performance

You know you need to collect every dollar possible through standard revenue cycle management, and you know that earning every dollar depends on managing your incentives.

But do you think Hierarchical Condition Category (HCC) coding is just a clinical/quality issue, or are you managing it like the financial issue it truly is?

Payers don’t calculate patient risk scores just using EHR data. Practices have a big role to play in mapping HCCs to codes before it gets to the payer. Without a firm understanding of HCC coding to accurately document patient complexity, the practice and the payer won’t see eye to eye on risk adjustment, cost predictions and, ultimately, reimbursement.

Which means you can’t find the gaps that you aren’t getting paid for.

Don't miss more of our Leaders Blog posts. Click here!

At the Medical Practice Excellence: Leaders Conference in Boston, Massachusetts (Oct. 9-12, 2022), Russell J. Hendrickson and Scott Everitt of Practical Data Solutions will teach us some strategies and tactics for how to avoid the above pitfall, including how to better measure and understand how patient HCCs ultimately roll up into a risk adjustment score.

Hendrickson and Everitt’s wisdom and experience presents a significant opportunity to outperform your peers. Consider where you are in relation to others on this visual of the state of play of HCC revenue capture:


Now is the perfect time to register for the Medical Practice Excellence: Leaders Conference in Boston, October 9-12, 2022, and at the Digital Experience (DX) November 8-10, 2022. The MGMA Community would love to see you!


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