/blog/ Recent content in Blog on Practice Provider Hugo en-us /blog/61-the-importance-of-documentation-in-risk-adjustment-coding/ Mon, 01 Jan 0001 00:00:00 +0000 /blog/61-the-importance-of-documentation-in-risk-adjustment-coding/ Risk adjustment coding is part of a payment model that was mandated by the Centers for Medicare & Medicaid Services (CMS) in 1997. This model identifies 79 categories of individuals with serious or chronic illness. These individuals are assigned a risk factor score – called a risk adjustment factor – based on a combination of their health conditions and demographic details. Each of these risks has specific codes that must be included in a patient’s chart. /blog/60-the-basics-of-meat-guidelines/ Mon, 01 Jan 0001 00:00:00 +0000 /blog/60-the-basics-of-meat-guidelines/ Coding guidelines specify that ICD-10 codes reported on health insurance claims should be supported by the documentation in the medical record in order to qualify for reimbursement. To properly do so, a patient’s medical record must explicitly state that a condition was Monitored, Evaluated, Assessed or Treated (MEAT). /blog/59-the-basics-of-hierarchical-condition-codes-hcc/ Mon, 01 Jan 0001 00:00:00 +0000 /blog/59-the-basics-of-hierarchical-condition-codes-hcc/ Hierarchical Condition Codes (HCC) were created by the Centers for Medicare & Medicaid Services (CMS). The HCC codes are used to identify 79 categories of conditions based on individuals with serious or chronic illnesses (such as diabetes or HIV/AIDS). Within each of the HCC categories are specific groupings of conditions drawn from more than 10,000 ICD-10 codes. /blog/the-basics-of-risk-adjustment-coding/ Mon, 01 Jan 0001 00:00:00 +0000 /blog/the-basics-of-risk-adjustment-coding/ Risk adjustment coding is part of a payment model that was mandated by the Centers for Medicare & Medicaid Services (CMS) in 1997. This model identifies 79 categories of individuals with serious or chronic illnesses. Each of these illnesses (such as diabetes or HIV/AIDS) have specific risk adjustment codes that must be documented in a patient’s medical record and submitted with a corresponding claim. The process of identifying these risk adjustment codes is called risk adjustment coding.