What Is HCC Coding? Why It’s Crucial for Risk Adjustment and Compliance

HCC (Hierarchical Condition Category) coding is a risk-adjustment model used by Medicare Advantage and other payers to estimate future healthcare costs. It links a patient’s chronic conditions to a Risk Adjustment Factor (RAF) score, directly impacting reimbursement and care planning.

At iMagnum Healthcare Solutions, we provide expert HCC coding services to ensure your practice captures accurate risk, improves RAF scores, and stays fully compliant with CMS guidelines.

Why HCC Coding Matters

Improves Risk Adjustment Accuracy
Reflects the true complexity of your patient population.

Protects Reimbursement
Incomplete or missed codes result in lower RAF scores and reduced payment.

Ensures CMS Compliance
Avoid costly audits and penalties with accurate coding and documentation.

Enhances Care Management
Better visibility into chronic conditions supports proactive treatment planning.

iMagnum’s HCC Coding Services Include:

Certified HCC coders

Prospective and retrospective chart reviews

Documentation improvement strategies

Audit support and RAF optimization