Year: 2016
Resolution Number: 59
Action Taken: Approved as Amended
Status: Complete
Author(s): Jayne E. Courts, MD
Sponsor: Domenic Federico, MD
On behalf of: Kent County Delegation
Committee: A (Medical Care Delivery)
Resolved Section(s):
RESOLVED: That the Michigan Delegation to the American Medical Association (AMA) ask our AMA to work with the Centers for Medicare and Medicaid Services (CMS) to establish a new policy to revise the current Medicare Advantage risk-adjustment process from one that results in the annual deletion of hierarchical condition category (HCC) codes associated with Medicare Advantage beneficiaries to one that permits past medical and surgical diagnoses to automatically follow the beneficiary from year to year when the HCC codes reflect chronic conditions that will never be totally resolved.
RESOLVED: That the Michigan Delegation to the American Medical Association (AMA) ask our AMA to work with the Centers for Medicare and Medicaid Services (CMS) to establish a new policy to revise the current Medicare Advantage risk-adjustment process from one that results in the annual deletion of hierarchical condition category (HCC) codes associated with Medicare Advantage beneficiaries to one that permits past medical and surgical diagnoses to automatically follow the beneficiary from year to year when the HCC codes reflect chronic conditions that will never be totally resolved.
Fiscal Note: NULL
Resolution: View PDF for Hierarchical Condition Category Coding
For More Information, Contact: