Hear from HIM professionals at Atrium Health about how an initiative to ensure complete HCC capture and documentation has improved patient care at their health system.
Diagnostic exams are an important way for hospitals and health systems to capture more complete, longitudinal patient information. Complete coding of diagnostic exams supports population health management and HCC reporting. […]
Happy New Year everyone! I am terrible at New Year’s resolutions, but I did make one this year that I hope to stick to: I want to increase my intake […]
In my previous blog, I took a hard look at the impact of mental health and substance abuse on hospital readmissions, especially the torrent of patients with these issues coming […]
A hot topic in health care today is Hierarchical Condition Categories (HCCs). At the last local AAPC chapter meeting I attended, we had a guest speaker who discussed HCCs in […]
HCCs are a “problem.” By that I mean no organization can ignore the impact of HCCs. No CDI specialist, HIM professional, quality specialist, provider or billing auditor can remain uneducated […]
The Official ICD Coding Guidelines state that a condition must be present at the time of the encounter, affect patient care or management and be clearly documented in order to […]
On December 27, 2017, CMS published Part 1 of this year’s Medicare Advantage (MA) Advance Notice highlighting proposed changes in MA payments for 2019. CMS requires comments on this Part […]
Hierarchical Condition Categories (HCCs) have been the underlying risk adjustment for many Medicare programs for several years. But they didn’t attract wide interest until CMS began shifting more payment toward […]
Thanks for reading the Inside Angle blog in 2017! As 2018 approaches, revisit some of our most popular blogs of the year: 1. HCCs: A frequent factor in the value […]
This article details how coders can enhance their careers by becoming proficient in the finer points of the latest payment methodologies.
As a physician, I am responsible for coding certain diagnoses that will trigger certain payment and risk adjustment. Risk adjustment scores are important in terms of quality measures and they […]