Skip to main content
HCC Calculator
Andrew McLaughlin avatar
Written by Andrew McLaughlin
Updated over a week ago

HCC Calculator

The HCC Calculator is a useful tool for healthcare professionals who need to accurately calculate risk scores for Medicare beneficiaries enrolled in Medicare Advantage (MA) plans and certain demonstrations. This article will provide a step-by-step guide on how to use the HCC Calculator and its features.

What is the CMS-HCC Risk Adjustment Model?

The CMS-HCC risk adjustment model is used to calculate risk scores to adjust capitated payments made for aged and disabled beneficiaries enrolled in Medicare Advantage (MA) plans and certain demonstrations. Risk adjustments are also used to assess the severity of an illness and compare classifications of diseases using diagnosis codes. The HCC Calculator offers support on how to accurately code and report risk and HEDIS measures.

Accessing the HCC Calculator

The HCC Calculator can be found under the 'Coding Tools' tab on the AAPC website. It is available with the Pro Fee and Complete Coder Annual Subscriptions.

Using the HCC Calculator

To use the HCC Calculator, follow these simple steps:

1. Select your model. The HCC Calculator supports the following models:

2. Select your code set.

3. Select your diagnosis codes and patient information.

4. Click 'Calculate' to see your results.

5. You can print your results for your records.

Benefits of Using the HCC Calculator

The HCC Calculator offers several benefits for healthcare professionals, including:

In conclusion, the HCC Calculator is a valuable tool for healthcare professionals who need to accurately calculate risk scores for Medicare beneficiaries. With its user-friendly interface and helpful features, it is an essential resource for any healthcare professional working with risk adjustment programs.

For more information on the HCC Calculator and other coding tools, consider subscribing to the Pro Fee or Complete Coder Annual Subscriptions on the AAPC website.

Did this answer your question?