Medical Economics September 8, 2025
Key Takeaways
- VBC shifts focus from episodic treatment to whole-person care, requiring changes in practice management and coding strategies.
- HCC codes, unlike CPT codes, assess patient risk and determine reimbursement based on chronic conditions and complexity.
- Annual documentation of HCC codes is crucial for accurate risk adjustment and appropriate reimbursement in VBC models.
- Successful VBC implementation requires education, training, and collaboration among care teams, emphasizing proactive patient management.
HCC vs. CPT vs. ICD-10-CM coding: What practices need to understand about coding when shifting from fee-for-service to value-based care
Value-based care (VBC) continues to become a mainstream reality for health care providers. While a patient may not notice a difference between a value-based or a fee-for-service (FFS) approach, there...
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