Outpatient Major Depressive Disorder (MDD) CDI Scenario – June 2021

Topic: Outpatient Major Depressive Disorder (MDD) Office visit 6/1/21: 65 y/o Caucasian, female seen in office for severe malaise and fatigue for last 6 months.  PMH: Chronic Kidney Disease, Hypertension, Diabetes Mellitus type 2 Home Medications: Metoprolol 50mg QD, Glucophage 500mg QD, ASA 81mg QD, Multivitamin, Calcium Vitals: T: 97.5, HR:78, RR:20, BP: 130/78.  HT:5’3”, WT…

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Coma CDI Scenario – May 2021

UASI Solutions

Topic: Coma H&P: 65-year-old female presenting with obtundation. Per report patient was in her usual state of health until the AM of date of admission when she suffered a sudden onset and progressive worsening headache. Family notes she progressed from lethargy to obtundation at which time EMS was called. Patient noted to have pressures in…

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3 Keys to Implementing Outpatient CDI in a Physician Practice

When implementing outpatient CDI in a physician practice, there are 10 steps you must follow to be successful. Assess Current State Define and Align Set Program Goals Determine Return on Investment Staffing Infrastructure Define Workflow Communicate and Educate Performance Expectations Monitor and Track Ongoing Evaluation However, the following steps are considered keys to an effective…

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The Structure of ICD-11

The eleventh version of the International Classification of Diseases (ICD-11) is structured very differently than previous ICD versions. At the core of this difference is the ICD-11 Foundation component and the ability to define a linearization. The Foundation is the underlying structure of ICD-11. It is a large data base that includes all ICD concepts,…

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FY21 E/M Office Visit MDM Part 2: Amount/Complexity of Data Reviewed

UASI is on the front lines actively working with our clients to help them comply with the biggest change in evaluation and management (E/M) coding since 1997. The new office visit E/M code levels are assigned based on either medical decision making (MDM) or total time. The complex MDM rules make it really easy to…

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FY21 E/M Office Visit MDM Part 1: Number and Complexity of Problems

UASI is on the front lines actively working with our clients to help them comply with the biggest change in evaluation and management (E/M) coding since 1997. The new office visit E/M code levels are assigned based on either medical decision making (MDM) or total time. The complex MDM rules make it really easy to…

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The Importance of Calculating Accurate RAF Scores

The risk adjustment factor (RAF) score is the risk score assigned to each patient in a risk adjustment payment model. Risk Adjustment Models account for multiple factors to calculate a RAF score which is the combination of both the demographic risk score and the disease risk score. Demographic Risk Score: The patient’s age and whether…

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