Visibility and CDI Program Success

Clinical documentation improvement efforts have expanded well beyond the initial CMI index focus. Clear and concise documentation also ensures optimal severity of illness (SOI), risk of mortality (ROM), and can assist in several CMS quality programs. But how...

The Risk Adjustment Program – HCC Coding

Hierarchal Condition Category (HCC) coding plays an increasingly important role in today’s ever-changing world of insurance benefits and reimbursement.  With the creation of the Affordable Care Act (ACA), HCC code capture is no longer only for  Medicare Advantage...