In addition, the HCC Diagnosis Recapture Channel automates the patient prioritization process to efficiently recapture codes of value. A Pursuit List presents to case managers a prioritized list of patients based on the value of the patient’s HCC codes that have not been renewed in the current year. This prioritizes call backs of the sickest patients so they get the care they need.
In summary, the HCC channel provides medical groups with a tool to proactively manage Medicare Advantage risk. It alerts physicians at the point of care to code appropriately, eliminating the need to correct charts after the fact. Medical groups are not only able to better manage their current risk contracts, but can explore increasing their risk sharing percentage or enter into full-risk arrangements.