Unlock Accurate Risk, Maximize Reimbursement, and Power Better Care with Taliun’s Intelligent - Hierarchical Condition Category Coding Services
200+ Integrations with med devices & health systems
HIPAA & SOC 2 Compliant
Solutions
100000 + API calls
average supported per customer
12000 + data elements curated from 200+ Health Systems & devices
Understanding Hierarchical Condition Category Coding: Driving Accurate Risk Adjustment and Reimbursement
Hierarchical Condition Category (HCC) coding is a risk adjustment model that enables healthcare organizations to accurately estimate future healthcare costs and ensure fair reimbursement for patient care. By categorizing patient diagnoses into clinically similar groups and assigning each a risk score, HCC coding reflects the complexity and severity of patient conditions, driving better resource allocation, compliance, and patient outcomes
Why HCC Coding Matters
Optimized Reimbursement
Accurate HCC coding ensures healthcare providers and payers receive appropriate compensation for managing patients with chronic and complex conditions, reducing revenue leakage and supporting financial sustainability
Improved Patient Care
Comprehensive documentation and coding incentivize providers to capture all relevant health conditions, leading to more effective care management and improved patient experiences
Data-Driven Decisions
HCC coding supports predictive modeling for future healthcare costs, enabling smarter resource planning and risk management for payers and providers
Taliun’s Approach to HCC Coding
At Taliun, we combine deep healthcare expertise with advanced AI and analytics to deliver robust HCC coding solutions tailored for today’s digital health landscape:
AI-Driven Retrospective Chart Review
Our proprietary analytics identify missed or inaccurate HCC codes, ensuring every condition is captured and reimbursements are fully optimized
Seamless Integration
Connect EHRs, wearables, medical devices, and health systems for a 360-degree patient view—streamlining data capture for risk adjustment and coding accuracy
Compliance and Security
As a HIPAA and SOC 2 compliant partner, Taliun safeguards your data while supporting regulatory requirements and industry best practices
Leverage our data-driven insights for clinical and administrative decision-making, population health management, and quality improvement
Interoperability at Scale
Accelerate integration with 200+ health systems and devices, ensuring your organization is ready for the future of value-based care
Key Features
Automated HCC Code Detection
Reduce manual effort and human error with AI-powered coding and documentation support
Comprehensive Data Aggregation
Curate and analyze data from multiple sources for holistic risk adjustment and compliance
Real-Time Risk Scoring
Instantly calculate patient risk profiles to inform care plans and reimbursement strategies
Fraud, Waste & Abuse Detection
Identify inconsistencies and unusual patterns in claims using predictive models and natural language processing
Why Choose Taliun
12+ Years of Digital Health Experience
rusted by leading healthcare and life sciences organizations worldwide
Purpose-Built for Healthcare
From Medicaid and Medicare to primary care and specialty providers, Taliun’s solutions are designed to enhance patient, provider, and payer experiences
Accelerate Digital Modernization
Rapidly deploy scalable, secure, and interoperable solutions for healthcare innovation
Data-Driven Insights
Empower your teams with actionable analytics for clinical, operational, and financial excellence
Ready to transform your HCC coding and risk adjustment processes
Partner with Taliun to unlock the
power of AI, data, and
seamless integration, driving better outcomes for your organization and the patients you serve.
