Which coding credential requires coders to be familiar with Hierarchical Condition Categories (HCCs), which are the basis for reimbursement for Medical Advantage plans?
A)CIC
B)CRC
C)CPC
D)CCS-P

Question

Quizplus · Accepted Answer

The coding credential that requires familiarity with Hierarchical Condition Categories (HCCs) is the CRC (Certified Risk Adjustment Coder). HCCs are the basis for reimbursement for Medicare Advantage plans, which are part of the risk adjustment model used to determine payments to insurers. Being knowledgeable in HCC coding and risk adjustment is essential for a CRC.

Which Coding Credential Requires Coders to Be Familiar with Hierarchical