Education and Tips
Learn useful information and tips used in the industry.
When Pam Stence, Director of CDI for Sharp HealthCare, had a hunch that her CDI program may not be performing as well as it could, she decided to dig deep to find answers.
Read MoreWhile the overall concepts of Risk Adjustment (RA) remain the same, January 1, 2024 will bring significant changes to RA and Hierarchical Condition Categories (HCCs). Currently, Medicare Advantage (MA) plans use version 24 (V24) of HCCs, which was released in 2020. Beginning in 2024, a 3-year phased introduction of version 28 (V28) will begin. The… Read More »Changes Coming to Risk Adjustment & Hierarchical Categories
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It’s that time of year again. Below you will find a guide for the 2024 ICD-10-CM updates. Topics covered are:
Read MoreTopic Outpatient CDI: Pacemaker Status, Sacroiliitis Office Visit: 76-year-old female, lives alone. Follow up re: Cardiology, Orthopedic (low back pain) follow up, refills needed. PMH: Hypothyroidism, CAD, Osteoarthritis, Lung Cancer, Pacemaker status, lawn mower accident as teenager- amputation of fourth, fifth toe on left foot. Home medications: Oscal, Synthroid, Losartan Vitals: BP 115/64, HR 98,… Read More »Monthly CDI Scenario Discussion – October 2023
Read MoreComparing Codes Across ICD Versions: Pneumonia, present on admission By: Mary H. Stanfill, MBI, ACHIP, RHIA, CCS, CCS-P, FAHIMA As the US has started exploring ICD-11 adoption, UASI is dedicated to looking for ways to make it’s adoption less intimidating. The WHO ICD-11 classification is very different from the 10th version that the United States… Read More »ICD-11 Monthly – September 2023
Read MoreOutpatient Documentation & Coding Issues, September 2023 Presented below is an analysis of new and ongoing initiatives under the Office of the Inspector General (OIG) Work Plan [1] and the Centers for Medicare & Medicaid Services (CMS) approved Recovery Audit Contractor (RAC) reviews [2] as of July 2023. The focus is on outpatient initiatives related… Read More »UASI Compliance Analysis
Read MoreThe Centers for Medicare & Medicaid (CMS) announced in the fiscal year 2022 Hospital Prospective Payment System final rule published on August 2,2021 that it was adopting an April 1 implementation date for ICD-10-CM and ICD-10-PCS code updates, in addition to the annual October 1 update, beginning with April 1, 2022. The April 1 implementation… Read More »Coding Tips: Maintenance of the ICD-10-CM & ICD-10-PCS Coding Systems
Read MoreTopic: Clinical Validation of Acute Kidney InjuryH&P: 79 y/o F presents with cloudy urine and labored breathing. Patient has suprapubic catheter draining to bedside bag which was last changed 10 days prior per daughter. Patient started on IV ceftriaxone, IV furosemide, and 1 liter NS bolus. Suprapubic catheter was changed during hospitalization.PMH: chronic systolic CHF,… Read More »UASI CDI Monthly Scenario Discussion – Clinical Validation of Acute Kidney Injury
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