Ask An Expert: CMS-HCC payment methodology
| Q: | What are the data deadlines and payment periods under the CMS-HCC payment system? |
| A: |
The Centers for Medicare and Medicaid Services (CMS) observes the following three deadlines each calendar year when calculating and delivering funding payments to Medicare Advantage plans: • Data received by CMS by the first Friday in March affects the July … Read Full Post |
| Q: | My patient has PVD, atherosclerosis of the lower extremities, and an AAA, which are all in HCC 105. I was told we need to document all three conditions even though there is only one payment for each HCC. Do I really need to waste of my time reporting all three conditions? |
| A: |
Yes, you do. The medical record is a legal document that must reflect all the conditions the patient has and their management. If the patient has all three conditions, they must all be documented and reported. From a purely payment … Read Full Post |