Which resource does CMS provide to assist with HCC coding?

The correct resource provided by CMS to assist with HCC coding is the HCC Risk Adjustment Model guidelines and the ICD-10 coding manuals. These resources are essential because they offer comprehensive guidance on how to accurately code diagnoses that affect risk adjustment calculations for Medicare Advantage plans. The HCC Risk Adjustment Model outlines the specific hierarchical condition categories that are used to identify beneficiaries at greater risk for poor health outcomes, allowing for appropriate reimbursement for healthcare providers based on the complexity of their patients' conditions.

Additionally, the ICD-10 coding manuals are crucial for understanding the diagnosis codes that need to be reported. Accurate coding with ICD-10 is vital, as it directly impacts risk adjustment scores and ultimately influences funding and resources allocated to healthcare organizations. By adhering to these guidelines and utilizing the manuals, coders can ensure that they are capturing the correct data that reflects the health status of the population they serve.

The other resources mentioned do not specifically target HCC coding or risk adjustment in the same way. The Medicare Provider Manual offers general information about Medicare policies and procedures, while the National Coding Guidelines focus on broader coding standards rather than the specifics required for HCC coding. Insurance Policy Documents typically outline coverage and benefits, but they do not provide detailed coding guidance relevant to HCCs