Like all reporting structures, CMS updates its Hierarchical Condition Category (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.
The HCC model is a risk-adjustment...
Q: We have a patient admitted with a history of CHF and ESRD who was admitted with...Read More »
By Richard Pinson, MD, FACP, CCS
As part of my consulting practice, I do a lot of work on appeals, so the news that...Read More »
Much like concurrent CDI reviews, the concurrent coding process necessitates that the coding professional follow the chart throughout the patient’...Read More »
Q: What is difference between the severity of illness (SOI)/risk of...Read More »
by Richard Pinson, MD, FACP, CCS and Cynthia Tang, RHIA, CCS
The clinical world now has a new set of criteria for malnutrition,...Read More »
Q: Our coders often select the principal diagnosis based on how invasive the testing is. For example, a patient comes in with...Read More »
by Cesar M. Limjoco, MD
Sepsis has been defined as a toxic response to infection. Sepsis-1 and Sepsis-2 defined it as a systemic...Read More »
Rules governing code assignment often don’t make sense to those coming to CDI from the clinical side of the house. In truth, they often confound...Read More »
by Sharme Brodie, RN, CCDS
I’m glad I’m not the only one who sometimes has a problem determining the proper codes and their proper...Read More »