#Interview #tips for #HCC #Medical #Coding for #freshers #beginners #experienced and #other #coding #specialisation people also eligible | with #question and #answers | Tips to #crack interview by 100% | by PPMP Creative System
Hi viewers, today we are going to see the topic of Interview tips in HCC Coding. We hope this tutorial will helpful to crack the interview by 100%. It is applicable for both freshers and experienced people.
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What is HCC Coding?
Is stands for Hierarchical condition categories.CMS uses HCCs to reimburse Medicare Advantage plans (like Part C payment) based on patients is demographic information and health status.
What is the Risk Adjustment and Risk Score?
The Risk Adjustment model uses a patient’s demographics and health status to determine a risk score, which is a relative measure of how costly that patient is anticipated to be.
Risk Score = Demographic (Age & Gender) + Health Status
(Diagnosis and Disease Interaction).
The Average Risk Adjustment Factor, (RAF) score is 1
if RAF is less than 1 means, Healthy patients.
if RAF is greater than 1 means, Un-Healthy patients.
Example of HCC Condition?
HIV / AIDS, (the HCC is 1)
Diabetes Mellitus, (the HCC is 17, 18 and 19 based upon the severity and complexity).
MEAT and TAMPER ?
M denotes Monitor. Which includes signs, symptoms, disease progression and disease regression.
E denotes Evaluation. Which includes the test results, medication effectiveness and response to treatment.
A denotes Assess or Address. Which includes the ordering tests, discussion, review records and counselling.
T denotes Treatment. Which includes Medications , therapies, other modalities.
P denotes Plan. Which includes Plan for surgery, Plan for active line of Treatment
R denotes Referral. Example, Refer to Specialist (like Oncology).
What is Medical Coding?.
Medical coding is the transformation of healthcare diagnosis, procedures and medical services into universal medical alphanumeric codes by using coding manual such as CPT, hcpcs, and ICD 10. Here the coder will review, the diagnoses and procedure from medical record documentation, such as transcription of physician’s notes, laboratory, radiologic results, then they will assign the appropriate code by using coding manuals.
CPC Certification / Specialization notes:
https://www.youtube.com/watch?v=HYIxz_D6liI&list=PL5XvyzjbbJt82pFHXn_7Cnjy7UdEb5Sqx
This tutorial includes the content of below title,
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HCC Coding
What is HCC Coding?
List out the HCC payment system?
Difference between CMS-HCC and HHS-HCC?
What is Risk Adjustment and Risk Score?
Example / list of HCC Condition?
What is MEAT and TEMPER?
What are the acute condition should not capture in outpatient setting?
ICD 10 CM
While coding, what are the think we need to check?
What is the recent update in ICD 10 guideline?
Guideline related to major HCC condition?
E.g. HIV, Diabetes, MI, Hypertension, CKD, CHF, Cancer and CVA
Medical background knowledge
Human Anatomy and Physiology?
E.g. 12 body system
Medical Terminology?
Major Disease Condition?
E.g. Types of MI
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