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    Coding

    Hierarchical Condition Categories (HCC)

    Hierarchical Condition Categories (HCCs) are CMS-defined groupings of chronic diseases used to predict future healthcare costs and adjust payments

    Definition

    Hierarchical Condition Categories (HCCs) are CMS-defined groupings of chronic diseases used to predict future healthcare costs and adjust payments

    Why it matters

    Hierarchical Condition Categories (HCC) is part of the Coding vocabulary used across home health operations, documentation, and revenue cycle. Understanding it helps clinicians, QA leads, and administrators stay aligned on care quality and compliance.

    Related terms

    Medical CodingICD-10-PCSCPT CodeHCPCS Level IICode AssignmentCoding Guidelines

    Listen While You Read

    Conversations on coding

    Episodes from Inside Home Health that put Hierarchical Condition Categories (HCC) in operational context.

    All episodes
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