As Medicare Advantage and other payers transition to value-based care programs, it is increasingly important for providers to have proper documentation of Hierarchical Condition Category (HCC) coding and to understand Risk Adjustment Factor (RAF) scores. HCC and RAF scores are used to estimate patient care expenses and calculate provider reimbursement.
Quippe HCC improves coding accuracy for Medicare Advantage and other value-based reimbursement programs, increases physician efficiency and enhances patient outcomes.
Physicians can verify documentation in real time to discover gaps in care and HCC-eligible codes. Quippe HCC eliminates time-consuming and error-prone manual processes by tapping into a clinical data engine, prompting physicians to address gaps in treatment or coding at the point of care.Download Quippe HCC Risk Optimizer Data Sheet
There are approximately 80 categories of diagnoses classified as HCCs. These are grouped into condition categories that cover approximately 10,000 diagnosis codes from ICD-10.
Medicomp Systems has developed a suite of solutions known as Quippe. These include:
Web-ready clinical AI engine built on top of MEDCIN, designed for next-generation clinical systems.
Efficient data-driven EHR documentation that follows a clinician's train of thought.
Filters disparate clinical data at the point of care to support clinical-decision making.
HCC audit-proofing, risk calculation and documentation auditing for clinicians and reviewers.