Hierarchical Condition Category (HCC) coding is one of the areas in healthcare where AI is the obvious solution. On paper, it makes perfect sense. Use it to scan charts, identify diagnoses, group them ...

Accurate HCC coding is critical for patient risk adjustment, as it directly impacts reimbursement models and financial sustainability in value-based care. However, studies indicate that as many as ...

PALO ALTO, Calif., Jan. 12, 2026 /PRNewswire/ -- Penguin Ai, a healthcare artificial intelligence company, announced today the launch of its Hierarchical Condition Category (HCC) Coding & Risk ...

– John Snow Labs, a prominent AI company in the healthcare sector, today announced the launch of Martlet.ai, a new healthcare AI company dedicated to redefining how payers and providers approach ...

Accurate risk adjustment isn’t just a box to check; it’s now a strategic lever. Hierarchical Condition Category (HCC) coding underpins risk scores that drive Medicare Advantage and other value-based ...

Artificial intelligence (AI)-enabled tools such as natural language processing (NLP) have been integrated into a wide range of applications, including risk adjustment coding tools, for greater ...

To facilitate full and accurate Hierarchical Condition Category (HCC) coding, it is crucial that providers take a disciplined approach to documenting medical encounters in patient records. The AAPC ...

Review Proposed Changes for Medicare Advantage Plans in 2024 Discuss the change from Version 24 to Version 28 and the impact on Risk Adjustment Calculation Methodology Explain how Fee-for-Service will ...

"Modifying the HCC model is not a simple technical update or revision," the AMGA says. CMS recently released proposed changes to the CMS-HCC Risk Adjustment Model for payment year 2024 in February, ...