Coding

Sidebar: Top 10 Most Over-Documented HCCs

October 2, 2017 11:56 am

Sidebar: Top 10 Most Over-Documented HCCs

  • Conditions that have been surgically corrected (e.g., abdominal aortic aneurism)
  • Diabetes with complications
  • Malnutrition
  • Nephritis
  • Pathological fractures (e.g., old pathological fractures reported as current)
  • Pneumococcal pneumonia (e.g., unspecified pneumonia reported as pneumococcal)
  • Polyneuropathy (e.g., reported as current when no treatment, evaluation, or monitoring is documented)
  • Primary site cancers (e.g., indicating historical conditions as current)
  • Strokes (e.g., indicating acute stroke instead of late effect of stroke)
  • Vascular disease (e.g., reported as current when no treatment, evaluation or monitoring is documented)

Source: 3M aggregated claims data

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