Hierarchical Condition Categories (HCCs) were first implemented by the Centers for Medicare and Medicaid Services (CMS) in 2004 as a payment model that adjusts for risk of mortality (ROI) and severity of illness (SOI).
Category: MedPartners Blog
Physician Engagement and Integrity of the Patient Record in an EHR World By Laurie Benz, OP CDI Compliance and Education Manager, MPU Clinical documentation has come a long way over the last few centuries.
Hierarchical Condition Categories and Risk Adjustment by David Reece, BSN, RN, CCDS, Consulting Director, Outpatient CDI Solutions, MedPartners University If you’ve been following the trends of healthcare, it seems that hierarchical condition categories (HCCs) are the buzzword in outpatient.
New Year’s Resolutions by Cathy Massaro MSW, CCM, MPU Education SME Who ever thought that making New Year’s resolutions was a good thing to do after surviving the holiday season starting with Thanksgiving in November? We have already had too much to drink, eaten even more, spent extensive time with people we rarely see …
Medical Necessity* is likely: Is being discharged to a skilled nursing facility Meets “bed confined status: Unable to get-up from bed without assistance Unable to ambulate, and Unable to sit in a chair or wheelchair Has at least one other commonly documented medical necessity condition Medical necessity is possible, but patient condition must be thoroughly …
What Will Medicare Part A Cover for Hospitalization in 2019? Submitted by Cathy Massaro MSW, CCM, MPU Education SME 2019 Medicare Hospital Insurance Numbers Part A Hospitalization: Semi-private room and board, general nursing and other hospital services and supplies.
Hiring managers routinely get questions from rejected candidates that range from timid inquiries to enraged demands for information.
HIM Job Search Strategies: Finding the Right Position The field of health information management is booming, and is expected to grow significantly in coming years.
The transformative potential of EHRs continues to evolve in unexpected ways and affect surprising corners of the healthcare field.