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Mra Hcc Chart Review And Documentation Guide
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Book Synopsis MRA/HCC CHART REVIEW and DOCUMENTATION GUIDE by : The Coders Choice LLC
Download or read book MRA/HCC CHART REVIEW and DOCUMENTATION GUIDE written by The Coders Choice LLC and published by . This book was released on 2019-10-08 with total page 97 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Hierarchical Condition Category (HCC) is defined as a risk adjustment model that is used to calculate risk scores to predict future healthcare costs. The Centers for Medicare and Medicaid Services' (CMS) CMS-HCC model is used to predict healthcare spending for Medicare Advantage Plan enrollees. The purpose of the scoring model is to adjust capitated payments made to beneficiaries in these plans based on the member's health. HCCs were initially implemented by CMS in 2000 and have been phased in over time. This article will focus on the CMS-HCC model.The model is based on diagnosis codes and includes 79 HCCs. Age, sex, disability, and living circumstances--such as whether the individual is living at home, in a nursing home, or in a long-term care facility--also play a part in the calculations of an HCC.
Book Synopsis A Few Minutes to Improve Risk Documentation Accuracy Even You Know Nothing about MEDICARE RISK ADJUSTMENT by : Yves-Edouard Baron
Download or read book A Few Minutes to Improve Risk Documentation Accuracy Even You Know Nothing about MEDICARE RISK ADJUSTMENT written by Yves-Edouard Baron and published by . This book was released on 2023-06-24 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In "A Few Minutes to Improve Risk Documentation Accuracy even you know nothing about Medicare Risk Adjustment:" readers are introduced to the complex world of Medicare Risk Adjustment (MRA) documentation. This informative and accessible guide is designed to empower healthcare professionals and individuals alike, even those with limited knowledge of the subject, to enhance accuracy in risk documentation within minutes.The book begins by providing a comprehensive overview of the Medicare Risk Adjustment program, explaining its purpose and significance within the broader healthcare landscape. It delves into the intricacies of MRA, including the key terms and regulations, ensuring readers have a solid foundation to build upon.Recognizing common challenges practitioners face in accurately documenting risk, the author presents a systematic and practical approach to address these issues. The book offers invaluable tips and techniques that can be implemented in just a few minutes, enabling readers to improve the precision of their risk documentation, ultimately leading to better patient outcomes and reimbursement rates.Throughout the chapters, the author emphasizes the importance of understanding the specific MRA requirements and guidelines. The book provides real-world examples to illustrate how accurate documentation can positively impact patients and healthcare providers.Additionally, the book explores the potential consequences of inaccurate risk documentation and offers strategies to avoid these pitfalls. It covers strategies for conducting comprehensive patient assessments, documenting chronic conditions, capturing HCCs (Hierarchical Condition Categories).As the book concludes, readers will have gained a solid understanding of the fundamentals of Medicare Risk Adjustment and how to navigate its complexities. They will feel empowered to immediately improve their risk documentation accuracy, armed with practical techniques and strategies that can be implemented in just a few minutes."A Few Minutes to Improve Risk Documentation Accuracy even you know nothing about Medicare Risk Adjustment" is an invaluable resource for healthcare professionals, coders, auditors, and anyone involved in the Medicare Risk Adjustment process. By bridging the knowledge gap and providing actionable insights, this book equips readers with the tools they need to enhance risk documentation accuracy, ensuring the provision of quality care and proper reimbursement within the ever-evolving healthcare industry.
Book Synopsis Risk Adjustment Documentation and Coding by : Sheri Poe Bernard
Download or read book Risk Adjustment Documentation and Coding written by Sheri Poe Bernard and published by American Medical Association Press. This book was released on 2020-03-02 with total page 500 pages. Available in PDF, EPUB and Kindle. Book excerpt: Risk-adjustment practices consider chronic diseases as predictors of future health care needs and expenses. Correct and detailed documentation and compliant diagnosis coding are critical for proper risk adjustment. Risk Adjustment Documentation & Coding, 2nd Edition provides: Risk-adjustment parameters to improve documentation related to severity of illness and chronic diseases. Code abstraction guidelines and recommendations to improve diagnostic coding accuracy without causing financial harm to the practice or health facility. Chronic disease ICD-10-CM coding summaries for quick reference and study. The impact of risk-adjustment coding (hierarchical condition category (HCC) coding) on a practice should not be underestimated: More than 75 million Americans are enrolled in risk-adjusted insurance plans. This population represents more than 20% of those insured in the United States. Insurance risk pools under the Affordable Care Act include risk adjustment. CMS has proposed expanding audits on risk-adjustment coding. FEATURES AND BENEFITS Five chapters delivering an overview of risk adjustment, common administrative errors, best practices, and guidance for development of internal risk-adjustment coding policies. Ten chronic disease ICD-10-CM coding summaries for quick reference and study. Two appendices offering mappings and tabular information of ICD-10-CM codes that risk-adjust to HCCs and RxHCCs. Learning and design features: Vocabulary terms highlighted within the text and defined at the bottom of the page. "Advice/Alert Notes" that highlight important coding and documentation advice from federal regulatory sources. "Sidebars" that provide derivative story and additional information, such as "Coding Tips" that guide coders with practical advice from sources like AHA's Coding Clinic and cautionary notes about conflicts and exceptions "Clinical Examples" that underscore key documentation issues for risk adjustment "Clinical Coding Examples" that provide snippets or full encounter notes and codes to illustrate risk-adjustment coding and documentation concepts "Documentation tips" that highlight recommendations to physicians regarding what should be included in the medical record or how ICD-10-CM may classify specific terms "Examples" that explain difficult concepts and promote understanding of those concepts as they relate to a section "FYI" call outs that provide quick facts "Abstract & Code It!" exercises that test diagnosis abstraction and coding skills (exclusive to Chapter 4) Extensive end-of-chapter "Evaluate Your Understanding" sections that include multiple-choice questions, true-or false questions, audit and Internet-based exercises. Two downloadable course tests and slide presentations for each chapter. Exclusive content for academic educators: A test bank containing 100 questions and a mock risk-adjustment certification exam with 150 questions.
Book Synopsis ICD-9-CM Official Guidelines for Coding and Reporting by :
Download or read book ICD-9-CM Official Guidelines for Coding and Reporting written by and published by . This book was released on 1991 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Risk Adjustment Coding and Hcc Guide 2019 by :
Download or read book Risk Adjustment Coding and Hcc Guide 2019 written by and published by Optum 360. This book was released on 2018-08-22 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The Risk Adjustment Coding and HCC Guide brings together hard-to-find information about risk adjustment (RA) coding and hierarchical condition categories (HCCs) in a new comprehensive resource that explains this complex reimbursement methodology. Now your organization will have a guide that provides both the big picture and the fine detail needed to document, code, and report essential information so that accurate risk levels are assigned and appropriate reimbursement received.
Book Synopsis ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021) by : Department Of Health And Human Services
Download or read book ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021) written by Department Of Health And Human Services and published by Lulu.com. This book was released on 2020-09-06 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.
Book Synopsis Liver Disease in Children by : Frederick J. Suchy
Download or read book Liver Disease in Children written by Frederick J. Suchy and published by Cambridge University Press. This book was released on 2021-03-18 with total page 875 pages. Available in PDF, EPUB and Kindle. Book excerpt: Liver disease in children is increasing in prevalence, placing a huge burden on healthcare systems and often requiring long-term management. Offering an integrative approach to the science and clinical practice of pediatric hepatology, this is the definitive reference text for improved diagnosis and treatment strategies. In the new edition of this authoritative text, chapters have been thoroughly revised in line with major advances in the field, such as recognizing the increased frequency of fatty liver disease, and how genetic testing has the potential to establish earlier diagnoses for a variety of diseases. Disorders covered include cholestasis, metabolic disorders and hepatitis, with their presentation across the spectrum of infancy, childhood and adolescence discussed. The indications and surgical aspects of liver transplant are explained and post-transplant care is described in detail. This is a valuable resource for pediatricians, hepatologists, gastroenterologists and all clinicians involved in the care of children with liver diseases.
Download or read book ERCP and EUS written by Linda S. Lee and published by Springer. This book was released on 2015-06-13 with total page 587 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides a comprehensive review of ERCP and EUS and the clinical conditions for which they are employed. Presented in a case-based format with accompanying videos, it will serve as a valuable practical clinical resource for gastroenterologists with an interest in ERCP and EUS. The text highlights major techniques involved in ERCP, reviews complications and recent data on preventing post-ERCP pancreatitis, and discusses important issues in training in ERCP including use of endoscopic simulators and assessment of competency as emphasized in the new ACGME guidelines. For biliary diseases, new techniques for managing biliary stones, novel technologies for diagnosing indeterminate biliary strictures, and new devices for treating benign and malignant strictures are also highlighted. For pancreatic diseases, advances in minimally invasive endoscopic techniques for pancreatic stones and strictures, and management of the complications of pancreatitis are reviewed. Furthermore, ERCP is not limited by age, pregnancy or history of abdominal surgeries and special considerations particular to these patient populations are also discussed. The EUS chapters review the breadth of equipment available for performing EUS and EUS-FNA, detail the technique of performing EUS-FNA, and explore pertinent issues with training and assessing competency analogous to ERCP training. Valuable insights on the basics of cytopathology relevant to the endosonographer are summarized. The classic indication for EUS of staging luminal cancers is examined in detail while pancreaticobiliary indications are discussed highlighting newer adjunctive technologies including elastography and contrast-enhanced EUS. Although in its infancy, the brave new world of therapeutic EUS is explored with a focus on endoscopic necrosectomy, EUS-guided biliary and pancreatic access as well as the exciting possibilities of EUS-guided radiofrequency ablation and injection of anti-tumor agents. ERCP and EUS: A Case Based Approach will serve as a very useful resource for physicians who perform or refer patients for ERCP and EUS. It provides a concise yet comprehensive summary of the current status of ERCP and EUS that will help guide patient management and stimulate clinical research.
Book Synopsis Modelling and Control of Switched Reluctance Machines by : Rui Araújo
Download or read book Modelling and Control of Switched Reluctance Machines written by Rui Araújo and published by BoD – Books on Demand. This book was released on 2020-09-09 with total page 373 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today, switched reluctance machines (SRMs) play an increasingly important role in various sectors due to advantages such as robustness, simplicity of construction, low cost, insensitivity to high temperatures, and high fault tolerance. They are frequently used in fields such as aeronautics, electric and hybrid vehicles, and wind power generation. This book is a comprehensive resource on the design, modeling, and control of SRMs with methods that demonstrate their good performance as motors and generators.
Book Synopsis Brunner and Suddarth's Textbook of Medical-Surgical Nursing by : Lillian Sholtis Brunner
Download or read book Brunner and Suddarth's Textbook of Medical-Surgical Nursing written by Lillian Sholtis Brunner and published by . This book was released on 2010-07 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Dorland's Dictionary of Medical Acronyms and Abbreviations E-Book by : Dorland
Download or read book Dorland's Dictionary of Medical Acronyms and Abbreviations E-Book written by Dorland and published by Elsevier Health Sciences. This book was released on 2015-07-24 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical acronyms and abbreviations offer convenience, but those countless shortcuts can often be confusing. Now a part of the popular Dorland’s suite of products, this reference features thousands of terms from across various medical specialties. Its alphabetical arrangement makes for quick reference, and expanded coverage of symbols ensures they are easier to find. Effective communication plays an important role in all medical settings, so turn to this trusted volume for nearly any medical abbreviation you might encounter. Symbols section makes it easier to locate unusual or seldom-used symbols. Convenient alphabetical format allows you to find the entry you need more intuitively. More than 90,000 entries and definitions. Many new and updated entries including terminology in expanding specialties, such as Nursing; Physical, Occupational, and Speech Therapies; Transcription and Coding; Computer and Technical Fields. New section on abbreviations to avoid, including Joint Commission abbreviations that are not to be used. Incorporates updates suggested by the Institute for Safe Medication Practices (ISMP).
Book Synopsis Radiopharmaceuticals for Therapy by : F. F. (Russ) Knapp
Download or read book Radiopharmaceuticals for Therapy written by F. F. (Russ) Knapp and published by Springer. This book was released on 2016-01-20 with total page 357 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides detailed information on therapeutic radiopharmaceuticals and discusses emerging technologies which have potential for broad clinical implementation. Recent advances in molecular biology, radiopharmaceutical chemistry and radioisotope production have stimulated a new era for the use of radiopharmaceuticals for targeted radionuclide therapy (TRT). Emerging clinical trials include use of peptides and monoclonal antibodies radiolabeled with therapeutic radionuclides for cancer therapy. In addition, small molecules are used for the treatment of chronic diseases such as metastatic bone pain palliation and radiation synovectomy of inflammatory joints. In the interventional arena, therapy of primary and metastatic liver cancer and arterial restenosis following angioplasty of both the coronary and peripheral arteries are being explored. Reactor and accelerator production of therapeutic radioisotopes is also integrated into these discussions. The development and use of radiopharmaceutical targeting characteristics required for treatment of specific disease processes and how these are implemented for radiopharmaceutical design strategies are also described. Radiopharmaceuticals for Therapy will benefit audiences in nuclear medicine and radionuclide therapy and will thus prove an invaluable source of up-to-date information for students, radiopharmaceutical scientists and professionals working in the radiopharmacy and nuclear medicine specialties.
Book Synopsis Oxford Textbook of Palliative Medicine by : Nathan I. Cherny
Download or read book Oxford Textbook of Palliative Medicine written by Nathan I. Cherny and published by Oxford University Press, USA. This book was released on 2015 with total page 1281 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emphasising the multi-disciplinary nature of palliative care the fourth edition of this text also looks at the individual professional roles that contribute to the best-quality palliative care.
Book Synopsis Polymyalgia Rheumatica and Giant Cell Arteritis by : Jozef Rovensky
Download or read book Polymyalgia Rheumatica and Giant Cell Arteritis written by Jozef Rovensky and published by Springer Science & Business Media. This book was released on 2010-05-06 with total page 93 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the present monograph, we offer current insights into polymyalgia rheumatica and giant cell arthritis. Both diseases are typical for advanced age, and their incidences increase with aging. Both diseases are a center point of interest not only for rheu- tologists, gerontologists, ophthalmologists or neurologists, but also for general prac- tioners. Early diagnosis and rapid treatment, mainly with glucocorticoids can save one of the most precious senses-vision. Damage to other organs (heart, aorta, co- nary arteries, liver, lungs, kidneys), which are supplied by the arteries affected by ischemic syndrome in the setting of giant cell arthritis, has serious consequences as well. Late diagnosis of giant cell arthritis can have fatal consequences for affected patients. It is a matter of fact that the human population is aging. Therefore, more attention has to be paid not only to diagnosis, clinical course and treatment of rheumatic d- eases in elderly, but also to their genetic, immunologic, endocrinologic, chronobiologic mechanisms, and state-of-the-art diagnostic modalities. I am convinced that the int- disciplinary research of the diseases will allow us to diagnose and treat the rheumatic diseases even faster and more effectively in the future.
Book Synopsis Dictionary of Abbreviations in Medical Sciences by : Rolf Heister
Download or read book Dictionary of Abbreviations in Medical Sciences written by Rolf Heister and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 451 pages. Available in PDF, EPUB and Kindle. Book excerpt: Not everyone is a friend of the manifold abbreviations that have by now beCome a part of the scientific language of medicine. In order to avoid misunderstanding these abbreviations, it is wise to refer to a reliable dic tionary, such as this one prepared by Heister. The abbreviation ED means, for instance, effective dose to the pharmacologist. However, it might also stand for emetic dose. Radiologists use the same abbreviation for erythema dose, and ED could also mean ethyl dichlorarsine. A com mon meaning of ECU is European currency unit, a meaning that might not be very often in scientific medical publications. ECU, however, also means environmental control unit or European Chiropractic Union. Hopefully, those making inventions and discoveries will make use of Heister's dictionary before creating new abbreviations when preparing manuscripts for scientific publications. It is a very worthwhile goal not to use the same abbreviation for several different terms, especially if it is already widely accepted to mean only one of them. It may be impossible, however, to achieve this goal in different scientific disciplines. Therefore, although it is wise for the abbreviations used in a publication to be defined, it is also very helpful for readers and writers to use a dictionary such as this one. The author deserves our warmest thanks since we know that compiling such a comprehensive dictionary is based upon incredibly hard effort.
Book Synopsis Cardiology: An Integrated Approach by : Adel Elmoselhi
Download or read book Cardiology: An Integrated Approach written by Adel Elmoselhi and published by McGraw Hill Professional. This book was released on 2017-12-29 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: An innovative, cardiology-specific text that blends basic science with the fundamentals of clinical medicine A Doody’s Core Title for 2022! Cardiology: An Integrated Approach to Disease skillfully bridges the gap between the science and practice of medicine. This beautifully illustrated book seamlessly integrates the core elements of cell biology, anatomy, physiology, pharmacology, and pathology with clinical medicine. It is the perfect companion for medical students transitioning to their clinical years, as well as for practicing physicians who need a user-friendly update on the basic science underlying the practice of clinical medicine. Full-color design includes approximately 340 images and 40 tables Cases teach students how to apply principles to real-world patient situations The latest developments in the field are incorporated throughout the text End-of-chapter case-based questions with detailed explanations reinforce important concepts and assess understanding of the material
Book Synopsis MRI from Picture to Proton by : Donald W. McRobbie
Download or read book MRI from Picture to Proton written by Donald W. McRobbie and published by Cambridge University Press. This book was released on 2017-04-13 with total page 405 pages. Available in PDF, EPUB and Kindle. Book excerpt: MR is a powerful modality. At its most advanced, it can be used not just to image anatomy and pathology, but to investigate organ function, to probe in vivo chemistry, and even to visualise the brain thinking. However, clinicians, technologists and scientists struggle with the study of the subject. The result is sometimes an obscurity of understanding, or a dilution of scientific truth, resulting in misconceptions. This is why MRI from Picture to Proton has achieved its reputation for practical clarity. MR is introduced as a tool, with coverage starting from the images, equipment and scanning protocols and traced back towards the underlying physics theory. With new content on quantitative MRI, MR safety, multi-band excitation, Dixon imaging, MR elastography and advanced pulse sequences, and with additional supportive materials available on the book's website, this new edition is completely revised and updated to reflect the best use of modern MR technology.
