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Hierarchical Condition Code & Risk Assessment Factor Presentation & Video Available for Members

Oct 26, 2015

The video and accompanying slides from the November 5 presentation on coding and hierarchical condition categories is posted on's Member sectionWhen you are logged in, you will see "Hierarchical Condition Category Coding Presentation." Please take some time to review this video.

This presentation is an introduction to the risk adjustment methodology CMS uses to determine the severity of illness of the patients we care for and to estimate the cost to care for them. Accurate coding is essential to determine appropriate risk-adjusted severity of illness. It is anticipated that CMS will be more transparent with quality and efficiency data in the future making it essential for providers to understand how their ICD-10 coding is used to determine severity of illness.

Presented by Barry A. Solomon, M.D., Medical Director ACO Program Network Strategy, United Health Care, National Medicare Team