HCC Assistant for eClinicalWorks: Real-time HCC
Risk Adjustment Coding Guidance
Analyze patients’ charts and capture HCC codes at the point of care.
Through an easy to install extension, the HCC Assistant reads the information in your EHR’s patient charts, and quickly identifies prospective HCC codes that can
be documented with just a few clicks.
It Works in Three Easy Steps
Open your patient’s chart and let the HCC risk adjustment app automatically analyze the clinical information.
Review the suggested HCC codes and select the ones you want to document.
Click “Submit” to add selected HCC codes to the EHR!
Better HCC Coding and Risk Adjustment documentation means maximized reimbursement
Return on Investment
Accurate documentation of patient conditions is critical to predicting the risk and future cost of your Medicare Advantage patients. This graphical example shows the baseline RAF (risk adjustment factor) score for a 78 year old male and how the RAF score can be significantly raised through accurate documentation and capture of HCC codes, resulting in thousands of additional dollars in reimbursement.
|Risk adjustment factor (RAF)||RAF score||Expected annual expenditure and funding|
|Male 75 to 79 years old 1.062 $9,611||1.062||$9,611|
|HCC 86, Acute myocardial infarction 0.282 $2,552||0.282||$2,552|
|HCC 111, Chronic obstructive pulmonary disease 0.355 $3,213||0.355||$3,213|
|HCC 137, Renal failure stage IV||0.230||$2,082|
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