Are you struggling to identify clinical indicators needed to qualify a diagnosis as complication comorbid (CC) condition or a major CC (MCC) condition? You're not alone. New coders and clinical documentation integrity specialists (CDISS) often struggle as well. But so do those who've been in the field a while. And little wonder. There are numerous changes to the codes and the MCC/CC lists themselves. Plus, there are numerous changes associated with the Official Guidelines for Coding and Reporting, as well as the American Hospital's Associations' Coding Clinic for ICD-10-CM/PCS.
Not knowing could pose serious compliance issues for your facility. In fact, three of the most problematic of these are acute tubular necrosis, acute post-op respiratory insufficiency and, lately, severe malnutrition. All three are targeted by auditors for clinical validation and all three are subject to a physician query, leading to over-documentation. Plus, there's a financial reimbursement risk when not reporting a CC or an MCC. That's because not only do those impact MS-DRG payment, but also many risk-adjust for quality metrics thus impacting hospital and physician value-based payments.
But now with this exclusive ICD10monitor webcast, you will gain invaluable knowledge about evidenced-based clinical definitions that will help when you need to validate an MCC or a CC. You and your team will receive a detailed examination of targeted MCC areas and discover significant opportunities for improvement.
So, whether you have a number of years of experience in querying physicians and you still find yourself getting tangled up in new initiatives, or if you feel overwhelmed with your responsibility to improve documentation, this webcast has been tailored specifically for you.
Why This is Relevant:
Not knowing when to report a CC or MCC could pose serious compliance issues for your facility as auditors are targeting clinical validation. And there's a financial reimbursement risk when not reporting a CC or an MCC. That's because not only do those impact MS-DRG payment, but also many risk-adjust for quality metrics, thus impacting hospital and physician value-based payments.
From this exclusive ICD10monitor webcast you will…
- Learn the criteria that qualifies a diagnosis to be considered as an "other" diagnosis
- Understand the role of compliant documentation in MS-DRG CC/MCC capture
- Benefit from an analysis of clinical indicators of selected diagnoses to improve query