Dr Ford Brewer - PrevMed This How The Medicare STARS Program Works Part 2
Aug 5, 2023
Dive into the intricacies of healthcare coding with a focus on diabetes management. Discover how complications affect coding decisions and the importance of a hierarchical system. A handy checklist tool is introduced to help providers identify care gaps. Learn how managing coexisting chronic conditions can lead to better patient outcomes. The complexity of this system is both enlightening and crucial for effective healthcare provision.
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Hierarchy in Disease Coding
- Hierarchical condition categories (HCCs) override each other as diseases become more complex.
- More severe diabetes complications trump simpler codes to capture patient severity accurately.
Prioritize Accurate ICD-10 Coding
- Always use the most appropriate ICD-10 code supported by your assessment and plan.
- Ensure your billing team documents diagnoses clearly to support coding accuracy.
Use Checklists for Care Gaps
- Use a comprehensive checklist to identify care gaps from nationwide claims data.
- This tool helps know patients better and close open care gaps efficiently.