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Developed in 2000, HCCs are part of a risk-adjustment model allowing Medicare to project the expected future annual cost of care. ... HCCs group together ICD-10 codes for related diagnoses with similar clinical complexity and expected annual costs of care.
https://acphospitalist.acponline.org/archives/2019/06/acph-201906-coding-corner-hccs-explained_t1.pdf
29 May 2019
Functional quadriplegia
Functional quadriplegia is clinically comparable to physical quadriplegia but is rarely diagnosed.
https://acphospitalist.acponline.org/archives/2012/05/coding.htm
15 May 2012
CODING CORNER May 2019 • ACP Hospitalist 5 Diagnosis-related ...
In 2007, CMS adopted Medicare Severity DRGs (MS-DRGs) to better differentiate patients’ severity of illness and associated costs of care. ... A comorbidity is a condi-tion that existed before admission; a complication, in this context, is simply any condition occurring after admission, not necessarily a complication of care.
https://acphospitalist.acponline.org/archives/2019/05/acph-201905-coding-corner-the-abcs-of-drgs_t1.pdf
27 Apr 2019
Connecting the causes and codes for pneumonia
The rules that govern code assignment for pneumonia bear little relationship to long-accepted clinical documentation practices.
https://acphospitalist.acponline.org/archives/2016/08/coding-pneumonia-causes.htm
15 Aug 2016
In the News
High ICU utilization and costs, discharge checklist and risk assessment, and more.
https://acphospitalist.acponline.org/archives/2016/11/in-the-news.htm
15 Nov 2016
Patient relationship category codes
Use of these code modifiers is voluntary for the time being but is expected to become mandatory in the near future.
https://acphospitalist.acponline.org/archives/2018/10/coding-corner-patient-relationship-category-codes.htm
15 Oct 2018
acp-hosp0000
The VBPM awards or penalizes physicians in group or solopractices for quality and cost of care. ... VBPM cost of care is measured by a single compos-ite score combining per capita Medicare costs (including Parts Aand B) and Medicare spending per beneficiary, then compared toa national mean
https://acphospitalist.acponline.org/archives/2014/09/acph-201409-coding_t1.pdf
10 Sep 2014
Inpatient versus observation status: the Medicare dilemma
The review process is flawed, and physicians should take action, three experts say.
https://acphospitalist.acponline.org/archives/2012/10/perspectives.htm
15 Oct 2012
Teach trainees more thought, less waste
Hospitalist role models can help residents embrace high-value care.
https://acphospitalist.acponline.org/archives/2015/03/high-value.htm
15 Mar 2015
acp-hosp1205-proof4_acp-hosp0000
The impact of functionalquadriplegia on intensity and complexity of care, severity ofillness, and cost of care is equivalent in every respect to phys-ical quadriplegia. ... plicating or comorbid conditions that contribute substantially. to the severity of illness, complexity of care and hospital reim-.
https://acphospitalist.acponline.org/archives/2012/05/acph-201205-coding_t1.pdf
1 May 2012