• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki DM complication HCC 18 and PVD HCC 108

Create Wiki Sort by votes
H

HCC12345

Networker
Messages
29
Location
San Antonio, TX
Best answers
0
I need clarification please! When I was trained I was told PVD as a DM complication RAF score is reduced compared to if PVD wasn't a DM complication. Is this true? If patient only has one diabetic complication, E11.51, do we only receive .288 or do we get HCC 18 (.302) and HCC 108 (.288) RAF value?
 
Last edited:
0
You will notice two entries (rows) on the CMS HCC crosswalk for E11.51: one for HCC 18 and one for HCC 108. Yes, the combined RAF is .590.
If the provider states these two conditions are not related, and therefore requiring you to report separately, the combined RAF is .393 for FY2020.
 
You must log in or register to reply here.
Top