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Insights & Education

How do the CMS-HCC model changes impact you?

By Staff / April 5, 2023

The eagerly anticipated changes to the CMS-HCC model are here. There are some positive and negative impacts that are coming your way.  How you fare is dependent on your population though the model is predicting a 3.32% increase in payments to Medicare Advantage plans over three years. As a result, shoring up your risk adjustment… Read More »How do the CMS-HCC model changes impact you?

Comparing Codes Across ICD Versions: Syncope

By Mary Stanfill / March 27, 2023

Mary Stanfill compares code assignments and categories for the common condition of syncope in ICD-10-CM and WHO ICD-11

Acute Blood Loss Anemia CDI Scenario

By Staff / February 14, 2023

In this CDI Scenario, a 56 yr. old male is admitted to the hospital and has indicators of Acute Blood Loss Anemia.

Other Persistent Atrial Fibrillation CDI Scenario – January 2023

By Staff / January 24, 2023

January’s CDI Scenario covers other persistent atrial fibrillation presenting in a 58-year-old male in the emergency room.

Cytomegalovirus in Transplant Patients CDI Scenario – October 2022

By Sarah Kriegshauser / October 20, 2022

In the October 2022 CDI Scenario, a 60-year-old male patient suffers from Cytomegalovirus after receiving a lung transplant.

Post Procedural Respiratory Failure CDI Scenario – September 2022

By Staff / September 16, 2022

A 67-year-old male presents with post procedural respiratory failure after a laparoscopic colectomy for adenocarcinoma of the sigmoid colon.

AHRQ Elixhauser Review CDI Scenario – August 2022

By Staff / August 8, 2022

In this CDI Scenario, background information on AHRQ Elixhauser Review is offered to readers, plus a clinical example and documentation tips.

UASI’s Risk Adjustment Maturity Model Explained

By Staff / July 11, 2022
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Learn the four RAMM phases (explore, define, implement, optimize) and lessons from ChristianaCare as they progressed through each phase.

Pulmonary Embolism CDI Scenario – July 2022

By Staff / July 7, 2022

July’s CDI Scenario covers the topic of pulmonary embolism. The patient in the scenario is a female with shortness of breath and swollen legs.

Chronic Kidney Disease Outpatient CDI Scenario – June 2022

By Staff / June 2, 2022

June’s CDI Scenario covers Chronic Kidney Disease in an outpatient setting. The patient is a 76 year old female.