HCC Diagnosis Dismissal Report

Display the Report Library: On the Main Menu, click Reports. Under General, click Report Library. Click the Clinicals tab. In the Standard Reports section of the tab, click run next to HCC Diagnosis Dismissal Report.

To access reports on the Clinicals tab of the Report Library, you must have the Clinicals user permission and the Report: Report Library: Clinicals permission. The Report: Report Library: Clinicals permission is included in the following roles:

• Practice Superuser role
• Report Reader role

Note: To activate the HCC Diagnosis Dismissal report, use the Activate Reports page.

The report can return dismissed diagnoses from claims from three years prior to the current calendar year and return dismissed diagnoses from manual entries from two years prior to the current calendar year.

1. Display the Report Library: On the Main Menu, click Reports. Under General, click Report Library.
2. Click the Clinicals tab.
3. Click run next to HCC Diagnosis Dismissal Report in the Standard Reports section of the tab.
   The Run Report: HCC Diagnosis Dismissal Report page appears.
4. Dismissal Date Range — Enter the start and end dates for the report, or select a date range from the menu. Potential diagnoses that were dismissed during this date range appear in the report.
   Note: If you want to run a report for a period greater than six months, run the report offline or schedule the report on the Clinicals tab of the Report Library.
5. Dismissed User — To report on specific users who dismissed potential diagnoses, click Selected and then select the usernames to include in the report.
6. Insurance Reporting Category — To report on dismissed diagnoses for patients whose insurance plans fall under specific insurance reporting categories only, click Selected and then select the insurance reporting categories to include in the report (for example, AARP or Medicare B).
7. Insurance Package — To report on dismissed diagnoses for patients who are insured by specific insurance packages only, click Selected and then enter the first few letters of the insurance plan to display the list of plans. Select the insurance plans to include in the report.
8. Report Format — Select the format for your report results.
• HTML table — Display the report results on your screen.
• Text (tab-delimited) — Export the report results to a .csv file in tab-delimited format.
• Text (comma-delimited) — Export the report results to a .csv file in comma-delimited format.
9. Report Options — Select report options.
• Suppress Column Headings — Select this option to remove column headings from the report results.
• Suppress Report Name — Select this option to remove the report name from the report results.
• Show Filter Criteria — Select this option to include your selected filter criteria in the report results.
• Run Offline (will appear in your Report Inbox tomorrow morning) — Select this option for very long reports. Reports that are run offline appear in your Report Inbox the morning after the request.
10. Click Run Report.

The Hierarchical Condition Category (HCC) model assigns a risk adjustment factor (RAF) to chronic conditions common in Medicare patients. The combination and number of patient diagnoses is then translated to a total RAF, which insurance companies use to determine the annual payment for the patient. You can view HCC RAF information during the point-of-care workflow, including diagnosis-level RAF weights and patient RAF scores, and using the HCC RAF GAP report.

Note: HCC diagnoses must be captured each 12-month calendar year to count toward risk adjustment for that year. All athenahealth HCC features reset on January 1 of each year because a patient's risk score is calculated over the course of a calendar year.

For more information, see Patient Risk Adjustment and the Patient Risk Dashboard.