hcc coding

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    Wiki HCC mapping effective dates

    Hi all, Can anyone help me to understand the HCC category effective date. Is the effective date is same for Both HCC category value and ICD code effective dates are same i.e. every year Oct 1. or is there any different effective date for HCC codes (Jan 1 or something else.) ? Because there in...
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    Wiki Other hyperlipidemia (E78.49)

    Other hyperlipidemia (E78.49) mentioned in the medical report. Can we change it to E78.5? Thanks in advance for any help/advice.
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    Wiki Morbid obesity coding

    BMI more than 40 is mentioned in vital signs under the heading physical exam section. Can we code E66.01 (morbid obesity) or it must be documented in the report by the provider to capture it? E66.01 has an HCC value. Thanks in advance for any help/advice.
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    Wiki HCC query cerebral palsy:

    Can we code cerebral palsy (G80.9) from past medical history without MEAT or any other congenital disease which has HCC value directly from past medical history without MEAT? G80.9 has an HCC value. Thanks in advance for any help/advice.
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    Wiki HCC Query: COPD and chronic respiratory failure with hypoxia

    Can we code J96.11 (Chronic respiratory failure with hypoxia) and J44.9 (Chronic obstructive pulmonary disease, unspecified) both together in risk adjustment coding? This is an outpatient visit. Thanks in advance for any help/advice.
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    Wiki HCC query: From where to pick diagnosis code assessment or past medical history

    Recurrent major depressive disorder, in partial remission (F33.41), is documented in past medical history, and in the assessment, unspecified depression (F32.9) is mentioned. Current medications are Trazadone, Zoloft, and Klonopin. For risk adjustment diagnosis purposes can we code F33.41...
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    Wiki HCC query diabetes and its complication

    Please let me know can we code a combination code for diabetes and its complications if linkage is not mentioned in the medical report? For example, if the patient has diabetes and specific type of glaucoma and we get MEAT for both of them, can we code E11.39 (Type 2 diabetes mellitus with...
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    Wiki HCC query diabetes and its complication

    Please let me know can we code a combination code for diabetes and its complications if linkage is not mentioned in the medical report? For example, if the patient has diabetes and specific type of glaucoma and we get MEAT for both of them, can we code E11.39 (Type 2 diabetes mellitus with...
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    Wiki HCC query diabetes and its complication

    Please let me know can we code a combination code for diabetes and its complications if linkage is not mentioned in the medical report? For example, if the patient has diabetes and specific type of glaucoma and we get MEAT for both of them, can we code E11.39 (Type 2 diabetes mellitus with...
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    Wiki Coding Listed comorbid conditions in HPI

    The documentation in the HPI states: Chronic pain: The patient is being seen for the follow-up of chronic back pain. The patient reports no change in the condition. Comorbid Illnesses: depression and anxiety. Does the fact that the documentation indicates the depression is a "comorbid...
    • MMillercpc
    • Thread
    • comorbid comorbidities hcc hcc coding manifestation risk adjustment coding
    • Replies: 3
    • Forum: Risk Adjustment
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    Wiki Diagnosis coding at Surgical Facility

    Can anyone point me to guidelines for diagnosis coding at surgical facility? I am interested specifically which should be included besides the pre-op and post-op diagnosis. Where can co-morbidity be pulled from reasonably? Only the H&P or should additional provider notes within the previous...
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    Wiki HCC Coding Guide Lines

    Can some please share HCC coding guide lines to show how to do HCC coding, what to code first and what is the most important steps to take while HCC coding?
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    Wiki RN MSN CPC certified 14 years experience Remote

    Kathleen Holm RN, MSN CPC 595 N CR 49 Slocomb, AL. 36375 Email: kathleenlajoie@aol.com 334-258-0302 Experience Quality Analytics Team member at Inovalon Bowie, MD | October 2010 – March 2018  Certified Professional RN Coder CPC.  9 years’ experience risk adjustment coding ICD-9 CM, and ICD-10...
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    Wiki Coding for Diabetes with A1C results

    Hello, I have a question in regards to HCC codes. If a patient comes in and the provider states the patient is there to follow up on the DMII, and the provider documented that the patients' A1c levels are @ a 7.1, can the coder then documented Diabetes Type 2 with Hyperglycemia, or does the...
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    Wiki Coding with MEAT or not

    I have been doing RA coding for insurance companies for 4 years now. When I was originally trained, I was told to look for MEAT or TAMPER for every RA code before submitting to CMS. However, CMS also says to follow ICD 10 guidelines. In the 2017 ICD 10 guidelines, this statement was added...
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    Wiki HCC remote coding

    Hi, my name is murthy , i am from visakhapatnam, andhra pradesh , india-531011 i have 2.5years exp in HCC coding in india only and i am a CPC coder. i wish to takeup coding remotely. is indians eligible for remote coding...? please let me know and this is my mail id : murthycpc@gmail.com...
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    Wiki CHDS, CPC-A, COC-A, CRC - Seeking Remote HCC Coding Position

    I would love to join your team of remote HCC coders and am confident I will do an outstanding job. Thank you for your consideration. PAMELA S. HEBERT, CHDS, CPC-A, COC-A, CRC www.linkedin.com/in/pamela-s-hebert SUMMARY Responsible and dedicated professional with 14 years as a remote...
    • coding2016
    • Thread
    • hcc hcc coder hcc coding risk adjustment risk adjustment coder
    • Replies: 0
    • Forum: Resume Postings
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    Wiki HCC Audit, IS CRNP an acceptable provider?

    Hi Everyone, Based on the guidelines for HCC Risk Adjustment Coding / Auditing, can anyone tell me if a CRNP (Certified Registered Nurse Practitioner) is an acceptable provider type? Thank you so much for the guidance!
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    Wiki Medicare Risk Adjustment & HCC Provider Educator Seattle Area

    MRA Provider Educator- Federal Way, WA-157514 Role: Learning Facilitator Location: Federal Way, WA We’re looking for associates who are dedicated to service and believe in following the Golden Rule of treating others the way you want to be treated. Humana was founded on this premise...
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