HCC Calculator

Created by Kevin Schmidt - HCPro, Modified on Mon, 23 Jun at 9:17 AM by Kevin Schmidt - HCPro

Using the HCC Risk Calculator

The HCC Risk Calculator is available on the SelectCoder home page. It allows users to calculate Risk Adjustment scores and identify HCCs (Hierarchical Condition Categories) based on diagnosis codes.

How to Use the Tool

  1. Click on HCC Risk Calculator from the home page.
  2. Select the desired diagnosis year and HCC model from the dropdown menus.
  3. Enter one or more diagnosis codes into the input box.
  4. Review and complete the required fields:
    • Age (required)
    • Additional fields as needed (gender, eligibility, etc.)
  5. Click Calculate to generate results.

Understanding Results

The results page displays:

  • Your calculated Risk Adjustment score
  • Risk factors and conditions contributing to the score
  • Normalization metadata
  • A breakdown of HCCs by diagnosis

You can export the results as a PDF using the Export button, or click Clear to reset the tool and enter a new set of diagnoses.


Watch: HCC Risk Calculator Overview

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