RevCycle Intelligence March 9, 2023
By Victoria Bailey

Proposed coding changes, including the removal of more than 2,000 codes from the HCC model, would negatively impact providers in value-based arrangements and hinder care access for patients with chronic conditions, AMGA said.

AMGA has asked CMS not to finalize the coding changes included in the 2024 Medicare Advantage Advance Notice that would revise diagnoses and condition categories in the hierarchical condition categories (HCC) model.

According to AMGA, the proposed changes to the risk adjustment model would adversely impact healthcare providers participating in value-based care contracts.

The agency has proposed transitioning from the IDC-9 coding system to ICD-10. AMGA supported this shift but raised concerns about the proposal to implement a revised HCC model that includes fewer ICD-10-CM codes mapped...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Provider
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