Addressing Challenges in Implementing HCC Coding

By Eric McGuire & Jayashree Selvaraj


Healthcare organizations face numerous challenges when implementing an effective Hierarchical Condition Category (HCC) program. Join this webinar to hear best practices in improving provider engagement, eliminating manual queries, as well as reporting for patient revenue opportunities, Risk Adjustment Factor (RAF) scoring, and more.

Learning Objectives:

  • Learn more about the vital role of provider engagement in capturing accurate and comprehensive documentation of patient conditions and how that leads to more accurate reimbursement.
  • Manual queries are time-consuming and can lead to delays in HCC coding and documentation improvement. Learn more about the benefits of automating and streamlining the query process to reduce reliance on manual queries and improve overall efficiency.
  • Document scope needs to be expanded to include all relevant patient documentation. We will discuss the significance this has on your risk adjusted and HCC reimbursements as well as RAF scores.
  • Accurate reporting is crucial for identifying potential gaps in documentation, understanding the impact on reimbursement, and monitoring program performance. Hear more about how implementing robust reporting can improve tracking of HCC coding accuracy, identify areas for improvement, and quantify the financial impact.
  • Understand how artificial intelligence (AI) can benefit your risk adjusted and HCC coding. In today's operations and with the staffing challenges organizations face, it’s important to leverage technical capabilities as well as business intelligence to improve your ability to manage and ensure the highest RAF scores possible.
Eric McGuire

Eric McGuire, CRCR, PgMP, PMP, LSSGB


Eric is a seasoned HIM and revenue cycle professional with more than two decades of experience in helping healthcare organizations bridge the gap between healthcare IT and business operations. As the senior vice president of coding and CDI services, he leads the development of service line strategy and execution. Eric’s leadership and consultancy has helped numerous customers transform their revenue cycle outcomes through enhanced patient experience, revenue growth, risk mitigation, and cost containment. Eric possesses a bachelor’s degree in Macroeconomics from The Ohio State University in Columbus, OH.