Education and Tips
Learn useful information and tips used in the industry.
Topic: Managing Winter Blues & Holiday Stress The holiday season can be a time of great joy, and for many, great stress. The presence of gloomier weather, time change due to the end of daylight savings, and overall increase in demands and obligations further contribute to feelings of stress, depression, and seasonal affective disorder. Winter/Seasonal… Read More »Holiday 2023 CDI Scenario Discussion
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In this week’s RA/HCC discussion, we are looking at a few of the HCC modification changes. As previously discussed, the HCC changes are extensive and the information provided below are just a few examples of these V28 changes. Neoplasm Disease Group Liver Disease Group Blood Disease Group Cognitive Disease Group Substance Use Disorder Disease Group… Read More »Bi-Weekly RA/HCC V28 Changes Discussion
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To round up our other ICD-10 update guides, the team has pulled together a guide for the DRG updates for 2024. In this guide you’ll find:
Read MoreTopic: Adverse Reactions to Drugs & Toxins/Poisoning/Underdosing/Toxic Effects Common definitions for this discussion: Provider documentation needs to be clear whether a drug was taken as directed or improperly administered to determine an adverse effect vs. poisoning. For example, a patient with a GI bleed due to Coumadin therapy would need clarification if the Coumadin was… Read More »Monthly CDI Scenario Discussion – November 2023
Read MoreComparing Codes Across ICD Versions: Heart Failure In this month’s ICD-11 deep dive, UASI’s Mary Stanfill continues to examine the differences between ICD-10 and ICD-11 to get a feel for how these changes will impact day-to-day coding. The WHO ICD-11 classification is very different from the 10th version that the United States modified to create… Read More »ICD-11 Monthly – October 2023
Read MoreUnlike 2023 with no new MS-DRG, the FY2024 changes include 15 new MS-DRGs, found in MDCs 04, 05 and 06. These MS-DRGs include: Notable items in these new MS-DRGs include: The FY2024 IPPS final rule home page can be found at: FY 2024 IPPS Final Rule Home Page | CMS
Read MoreLet’s continue the discussion surrounding the RA/HCC V28 changes which are effective January 1, 2024. First, a reminder that the underlying concept of RA/HCCs does not change with the 2024 update. CMS’s risk adjustment model is designed to properly recognize each patient’s disease burden and estimate future health care cost for beneficiaries. In this prospective… Read More »Continued Discussion Surrounding RA/HCC V28 Changes
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The UASI team has pulled together ICD-10-PCS updates for 2024. These are in addition to the ICD-10-CM updates posted earlier this month. In this guide you’ll find:
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