Do the HCC category hierarchies play a role in whi...

Certified Risk Adjustment Coder (CRC) Practice Exam

Question Number 5

Do the HCC category hierarchies play a role in which medical record to submit for a RADV?

No, there are no benefits in taking hierarchies into consideration. No, CMS will treat all diagnosis with the same financial weight. Yes, CMS will accept a lower or higher HCC to validate an HCC within the same category. Yes, there can be a financial gain by submitting a higher hierarchy HCC.

✔ Correct Answer:

Yes, CMS will accept a lower or higher HCC to validate an HCC within the same category.

Certified Risk Adjustment Coder (CRC) Practice Exam

Question Number 5

Count Down:

Related questions :