Which of the following processes is included in HCC coding?

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HCC coding, or Hierarchical Condition Category coding, is designed to ensure that patient diagnoses are accurately captured to reflect the complexity and health status of a patient population, particularly for risk adjustment purposes. The approach emphasizes the importance of reporting all relevant diagnosis codes that may indicate chronic conditions or complications that contribute to a patient's risk profile.

Submitting as many diagnosis codes as possible—provided they meet specificity and documentation requirements—helps capture the full spectrum of a patient’s health conditions. This comprehensive reporting is crucial not only for accurate reimbursement but also for effective disease management and care planning, as it allows healthcare providers to better understand patient needs and allocate resources accordingly.

In contrast, the other processes mentioned do not align with the principles of HCC coding. Eliminating all history codes could omit significant health-related information that could impact risk adjustment. Focusing only on current acute conditions ignores the importance of capturing chronic and historical diagnoses that are critical for a complete picture of patient health. Routine retrospective chart reviews without proper documentation fail to establish the necessary clinical validation needed to support coding decisions effectively. Thus, the emphasis in HCC coding is on accuracy and comprehensiveness, which is why submitting numerous relevant diagnosis codes aligns with that goal.

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