The document provides a comprehensive guide to the 2024 CMS-HCC risk adjustment model, highlighting significant updates to the hierarchical condition categories that are essential for accurate risk assessment and coding in healthcare. It emphasizes the importance of adapting coding practices to reflect changes across various medical conditions and the need for collaboration with medical billing companies to maintain compliance and improve patient care. Overall, the guide serves as a crucial resource for healthcare professionals navigating the evolving landscape of risk adjustment.

1. Complete Guide To The 2024 CMS-HCC Risk Adjustment Model
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2. Complete Guide To The 2024 CMS-HCC Risk Adjustment Model
The healthcare industry is ever-changing, and staying abreast of regulatory changes is paramount for healthcare
professionals and hospitals. In 2024, the Centers for Medicare & Medicaid Services (CMS) introduced significant updates to
the Hierarchical Condition Categories (HCCs) Risk Adjustment Model. Understanding these changes is crucial for accurate
risk assessment, HCC coding, and reimbursement in the healthcare industry.
In this comprehensive guide, we delve into the intricacies of the 2024 CMS-HCC Risk Adjustment Model, exploring the
modifications made to various disease categories and their implications. Whether you’re a coder or healthcare provider, this
guide aims to equip you with the knowledge needed to navigate the changing scenario of risk adjustment in healthcare.
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Updates in the 2024 CMS-HCC Risk Adjustment
Model
● Vascular Diseases
● Metabolic Diseases
● Heart Diseases
● Blood Diseases
● Amputation Disease
● Neurological Diseases
● Diabetes
● Kidney Diseases

4. The 2024 CMS-HCC Risk Adjustment Model shifts how healthcare professionals approach risk assessment and coding. With
approximately 74,000 ICD-10-CM diagnosis codes now classified into 266 CMS-HCCs, the model reflects a more detailed
understanding of various medical conditions.
Healthcare professionals must adapt to these changes, ensuring that coding practices align with the updated model to
capture the complexity of patient conditions accurately. By staying informed and implementing best practices, healthcare
providers can navigate the intricate scenario of risk adjustment, contributing to improved patient care and fair reimbursement.
As we move forward, collaboration with outsourcing medical billing companies such as 24/7 Medical Billing Services will be
vital in maintaining compliance and optimizing healthcare delivery in the dynamic environment of the CMS-HCC Risk
Adjustment Model.
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Conclusion

5. About us
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medical institutions and group practices with our end to end medical billing solutions. We help you earn more
revenue with our quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions
allow physicians to attract additional revenue and reduce administrative burden or losses.
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