Real-Time Clinical Intelligence at the Point of Care: Seamless Hierarchical Condition Category (HCC) Management

Leverage technology to capture HCCs across the continuum

Managing patient risk has never been more crucial. Accurate capture of Hierarchical Condition Categories (HCCs) is essential to accurate risk scores. Both clinicians and CDI teams need real-time clinical intelligence to identify HCC opportunities and close documentation gaps before claims are submitted.  

An integrated HCC management solution requires built-in worklist prioritization to identify diagnosis gaps and missing documentation, year after year, especially in outpatient settings. CDI teams also need to adapt to ongoing changes, such as new regulation during the COVID-19 pandemic to allow submission of diagnoses via telehealth. Leveraging AI technology helps provide real-time access to a patient’s entire clinical history and identifies HCC opportunities that would otherwise be missed.

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