HCC Documentation Best Practices for CKCC Providers

Accurate Clinical Documentation Matters 

Hierarchical Condition Category (HCC) care gap closure is a priority for Q4 2025. We must document the acuity of the complex patient population we serve. Accurate coding facilitates the allocation of appropriate resources for CKCC patients and supports a shared understanding of a patient’s health status. 

Suggested Best Practices 

1. Innovaccer InNote Application 

For practices with access, Innovaccer’s InNote application can flag open and suspect HCC care gaps for documentation during patient visits. 

2. CDI Paper Forms 

Practices can use CDI paper forms to identify HCC care gaps for review and track progress. 

3. Patient Gap Lists from Strive 

Strive shares lists of patients with open care gaps with whom you should connect. 

Get Support 

If you have any questions, reach out to your Strive contact or email us at info@strivehealth.com.