Q: Are the diagnoses on the CMS HCC list the exact same as the ones on the Department of Health and Human Services (HHS) HCC list?

A: The HHS HCCs are the ones used for calculating payment for government insurance programs offered through what we think of...Read More »

As the healthcare industry shifts from traditional fee-for-service to a value-based and quality-driven model, CDI specialists should be aware of the principles that drive risk adjustment payments. “I describe it as traveling down parallel to that which we travel to establish the DRG,” says...Read More »

Editor’s Note: Over the coming weeks, we’ll take some time to introduce members to a few of this year’s ACDIS conference speakers. ...Read More »