It’s often a challenge for CDI specialists to obtain precise documentation of anemia in the medical record. A hospitalist once asked me why I sent him a query for anemia because since he would treat it the same way no matter what, he...Read More »
You’ve certainly heard the phrase, “timing is everything.” Turns out that like most age-old aphorisms, this one’s mostly true, whether you’re talking about relationships or hand grenades.
Like all reporting structures, CMS updates its HCC list each year. Recently, version 23 was released, and it contains some notable additions that CDI professionals—whether inpatient or outpatient—must be aware of.Read More »
By Tracy Boldt, RN, BSN, CCDS, CDIP, and Ellen Jantzer, RN, MSN, CCDS, CCS, CRC
The hierarchical condition categories (HCC) are diagnosis code based on ICD-10 codes and include approximately 70 distinct disease groups derived from approximately 3,600 diagnosis codes that are...Read More »
Risk models group diagnoses according to ICD-10-CM diagnosis codes and categorize patients who share similar clinical characteristics and cost. Each risk model has a complex methodology where a particular diagnosis may trump another diagnosis,...Read More »
Coding versus the true nature of patient’s condition can be enigmatic. In order to parse out the difference between the two, we need to understand the ultimate goal of CDI. It’s not in following the severity of illness (SOI)/risk of mortality (ROM), the...Read More »
