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Population health's financial imperative for HCC improvement and 3 opportunities to get there


Coding and documentation (e.g., ICD-10 codes) are important under value-based reimbursement models. They inform Hierarchical Condition Categories (HCCs), a measure of disease burden, and Risk Adjustment Factors (RAFs). Physicians do most coding and can help ensure provider organizations are accurately reimbursed and held to fair standards in risk-based contracts.


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