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 »
Deanne Wilk, BSN, RN, CCDS, CCS, CMS, and Melissa Maguire, BSN, RN-BC present “How CDI and Coding Can Travel Together in the Outpatient Realm: Goals and Initiatives,” on Day 1 of the ACDIS Symposium: Outpatient CDI. This year’s Symposium takes...Read More »
