The accuracy and specificity of documenting one’s medical conditions, as well as the internal consistency within a note, are of paramount importance.
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Tag: #HCC
Download: Social Determinants of Health ICD-10 Codes One Sheet
As part of the 2021 changes in the Evaluation & Management coding system, the American Medical Association has, for the first time ever, included Social Determinants of Health in the calculus for Medical Decision Making (MDM).
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ICD-10 Coding: Documentation & Coding of Social Determinants of Health
The medical record determined by ICD-10 Coding tells a story. It is composed of a narrative of what is happening with a patient. It includes objective physical exam findings, which correlate to signs, symptoms, assessed medical conditions; a detailed plan…
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HCC Coding: Identifying and Correctly Documenting Alcohol Use Disorders
Clinically identifying an alcohol problem is challenging. Taking time to address and then to accurately HCC document the problem adds additional obstacles for healthcare providers.
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HCC Coding: Major Depressive Disorder – Specificity Makes a Difference
Imagine this scenario: today you saw one of your established patients, who is usually in a pleasant and talkative mood, but something was different. At first, they were quiet, only answering questions with a yes or no response and seemed…
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