Coding and CDI Tips
Sharing knowledge, experience, innovations and best practices to help organizations keep pace in the ever-changing healthcare industry
Coding and CDI Tips
Decoding V28 Transition: Key Takeaways from Journal of AHIMA
Medicare Advantage is on the brink of a significant restructuring as it transitions from V24 to V28 of the hierarchical condition categories (HCCs) risk adjustment model. In a recent Journal of AHIMA article, I partnered with Jeanie Heck, BBA, CCS, Education...
CDI Tips & Friendly Reminders: Respiratory Failure
Respiratory FailureDefinition: Syndrome where the respiratory systems fail in either or both the gas exchange function or oxygenation and carbon dioxide elimination. Recognized as either hypoxemic or hypercapnic.Coding Considerations:Review the circumstances of...
Enroll in e4health’s 2024 Risk Adjustment Webinar Series for FREE CEUs
The first part of the series, “Medicare Advantage HCC Model Changes From v24 to v28” is a deep dive into the upcoming HCC model changes. This webinar is approved for 1.0 AHIMA and AAPC CEU. The following six parts of the series are designed to provide additional...
CDI Tips & Friendly Reminders: Poisonings vs. Adverse Reactions vs. Toxic Effects vs. Underdosing
Poisonings vs. Adverse Reactions vs. Toxic Effects vs. Underdosing DefinitionPoisoning: reaction to the improper use of a medication. This can include either:Wrong substanceWrong doseWrong personWrong Route of administrationTaken in combination of alcohol, illicit...
Coding Tip: Exagamglogene autotemcel
Exagamglogene autotemcel (Exa-cel) (aka CTX001™) is a genetically modified cell therapy that is used to increase fetal hemoglobin (HbF) in patients with sickle-cell disease (SCD) and transfusion-dependent beta-thalassemia (TDT). Exagamglogene autotemcel is an...
SDOH and IP Reimbursement
Stay in the know about how proposed changes to SDOH codes could affect IP MS-DRG reimbursement. Inpatient prospective payment system (IPPS) payment is made based on the use of hospital resources using various factors: the treatment of a patient’s severity of...