Are you appropriately reporting every valid complication comorbid (CC) and major CC (MCC) condition? Many coders and clinical documentation integrity (CDI) specialists — regardless of experience — struggle to identify the clinical indicators required to qualify a diagnosis as a CC or MCC. Adding to the confusion are ongoing changes to official coding and reporting guidelines and to the AHA's Coding Clinic for ICD-10-CM/PCS, as well as the codes and CC/MCC lists themselves.
Missed or misreported CCs and MCCs pose significant threats to revenues and compliance. Some CC/MCCs, such as acute tubular necrosis, acute post-op respiratory insufficiency, and severe malnutrition, are particularly challenging.
During this ICD10monitor webcast, Dr. William E. Haik will take an in-depth dive into targeted CC/MCC areas for 2020 and highlight opportunities for improvement.
Why This is Relevant:
Not knowing how to fully and compliantly report a CC or MCC increases risks at multiple levels, including:
- Missed revenue opportunities from unreported CC/MCCs
- Flawed risk adjustments for quality metrics, ultimately affecting value-based payments to hospitals and physicians
- Penalties imposed by external auditors looking for unsubstantiated clinical indications
From this webcast, you will…
- Learn the "General Rule" criteria that qualify a diagnosis to be considered an "additional" diagnosis (CC or MCC)
- Acquire a clearer understanding of the role of compliant documentation in MS-DRG capture for CC/MCCs
- Be able to analyze the clinical indicators of selected diagnoses to improve physician queries
Who Should Attend:
This timely webcast will be most relevant to inpatient coders, CDI specialists, CDI managers and directors, and HIM managers and directors.