Some Risk-Adjustment HCC Basics for HIM Coding and CDI Professionals

Author – Search by Author –Adele L. Towers, MD, MPH, FACP Ahmed Abuabdou, M.D., MBAAlixis SmithAllen R. Frady, RN, BSN, CCS, CCDS and Rob Kopec, MDAllen R. Frady, RN, BSN, CCS, CCDS, AHIMA Approved ICD-10-CM/PCS TrainerAndrea Clark, RHIA, CCS, CPC-HAndres Jimenez, MDAndrew H. Dombro, MDAndrew N. Cohen, PhDAngela CarmichaelAngela Phillips, PTAnita Archer, CPCAnita Majerowicz, MS, RHIAAnny Pang Yuen, RHIA, CCS, CCDS, CDIPAutumn Reiter, BSN, RN, CCDS, CDIP, AHIMA-Certified ICD-10 TrainerBarbara Hinkle-Azzara, RHIABarry Libman, MS, RHIA, CDIP, CCS, CCS-P, CICBeth Friedman, RHIT, BSHABeth Wolf, MD, CPC, CCDSBetsy NicolettiBetty B. Bibbins, MD, BSN, CHC, C-CDI, CPEHR, CPHIT, CPHIMSBill Rifkin MD, FHM, FACPBilly Richburg, M.S., FHFMABonnie S. Cassidy, MPA, RHIA, FAHIMA, FHIMSSBrad JustusBrigid T. Caffrey, BA, BS, MS, CCSBrooke Palkie, MA, RHIACareer StepCari Greenwood, RHIA, CCS, CPC AHIMA approved ICD-10 TrainerCarol Lester, RN, BSNCarol Spencer, BA, RHIA, CCS, CHDACassi Birnbaum, MS, RHIA, CPHQCatherine Harrison-Restelli, MDCathie Wilde, RHIA, CCSCesar M Limjoco, MDCharles Winans, MDCheryl E. Servais, MPH, RHIACheryl Ericson, RN, MS, CCDS, CDIP Chris Liguori, MBAChris Powell, Chief Executive Officer, PrecyseChuck BuckCindy Doyon, RHIAColleen Deighan, RHIA, CCS, CCDS-O Cynthia D. Fry, PhDDavid Jury MD, MSDawn Valdez, RN, LNC, CDIP, CCDS; CCDIPDeborah Grider, CPC, CPC-H, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP, Certified Clinical Documentation Improvement PractitionerDebra Beisel Denton, RHIA, CCS, CCDS, CDIPDee LangDenise M. Nash, MD, CCS, CIMDenise Wilson MS, RN, RRT Dennis HarveyDennis JonesDennis WinklerDenny FlintDheeraj Mahajan, MD, FACPDiane Iverson, RN, BSN, BS, ACM, CCMDiann Smith, MS, RHIA, CHP, FAHIMA AHIMA Donna Richmond, BA, RCC, CPCDr. Stephen Spain, MD, CPCDuane C. Abbey, PhD, CFPEdward Hu, MD, CHCQM-PHYADVEdward M. Roche, PhD, JDEileen Dano TkacikElizabeth Stewart, RHIA, CCS, CRCAEllen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRPEllen VanBuskirkEmily AndersonEmmel “Sonny” Golden, MD, FCCP, CCDSErica E. Remer, MD, FACEP, CCDSEvan M. Gwilliam, DC, MBA, BS, CPC, CCPC, CCCPC, NCICS, CPC-I MCS-P, CPMAFrank CohenFred BazzoliGary BaldwinGeorge VancoreGlenn Krauss, RHIA, BBA, CCS, CCS-P, CPUR, CCDS, C-CDI, PCS, FCGloryanne Bryant, RHIA, CDIP, CCS, CCDS, AHIMA-Approved ICD-10-CM/PCS TrainerGracielinda PrescottGrant Huang, CPC, CPMAGregory M. Adams, FHFMAGretchen Dixon MBA, RN, CCS, CPCO, AHIMA-Approved ICD-10-CM/PCS Trainer and Ambassador,Gustavo P. Camarano, MD, PhD, CPC, CDIP, CHCQMH. Steven Moffic, MDHeidi Hillstrom, MS, MBA, RN, PHN, CCDS, CCSHolly Louie, RN, BSN, CHBMEHugh KellyJacqueline J Stack, BSHA, CPC, CPC-I, CPB, CEMC, CFPC, CIMC, CPEDCJames JonesJanelle Ali-Dinar, PhD Janis OppeltJeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPCJeffrey Epstein, MDJessica KatzJessica MaierJill FinnJoel Moorhead, MD, PhD, CPCJohn Evensen, MBAJohn Foggle, MD, MBAJohn Pitsikoulis, RHIAJohn R. Irwin, AB, JD, BS, MD John WollmanJohn Zelem, MDJonathan LaFleur, BSN, RN, CCSJoseph C. Nichols, MDJoseph J. Gurrieri, RHIA, CHPJoyce Johnson, RHIA, CCS, AHIMA-Approved ICD-10-CM/PCS TrainerJulia K. Brodt, PhDJulie A. Dooling, MSHI, RHIA, CHDA, FAHIMAJulie A. Dooling, MSHI, RHIA, CHDA, FAHIMA and Melanie Endicott, MBA/HCM, RHIA, CDIP, CHDA, CPHI, CCS, CCS-P, FAHIMAJulie Boomershine, RHIA, CCS, CTR, CHDA, AHIMA-Approved ICD-10 Trainer; and Jessica Coleman, CCSJuliet A. Santos, MSN, CCRN, FNP-BCJuliet B. Ugarte Hopkins, MD, CHCQMJustine KuritzKaren Kinzle ZegelKaren Kinzle ZegelKathy Murchland, RHIA, CDIPKathy Pride, RHIT, CPC, CCS-P, CPMAKim Carr, RHIT, CCS, CDIP, CCDS, AHIMA-Approved ICD-10-CM/PCS TrainerKim Charland, BA, RHIT, CCSKim Reid, CPC, CPMA, CEMC, CPC-IKimberley Templeton, MDKnicole Emanuel Esq.Kris Knight, MBA, RHIAKrista JaroszewskiKristi Pollard, RHIT, CCS, CPC, CIRCC, AHIMA-Approved ICD-10-CM/PCS TrainerLamon Willis, CPCO, CPC-1, COC, CPC, AHIMA-Approved ICD-10-CM/PCS TrainerLaudine A. Markovchick, RHIT, CCSLaura Hayman RN, CDISLaura Legg, RHIT, CCS, CDIPLauri Gray, RHIT, CPCLaurie A. McBrierty, MLT ASCP, CICA Laurie M. Johnson, MS, RHIA, FAHIMA AHIMA Approved ICD-10-CM/PCS TrainerLeanne R. CardwellLeslie KrigsteinLinda Pottinger, MBALinda Schwab-Messmer, RHIT, CCSLinda Schwab-Messmer, RHIT, CCS, AHIMA-Approved ICD-10-CM/PCS Trainer, and Dotsy Baxter, RHIA, CCS, AHIMA-Approved ICD-10-CM/PCS TrainerLisa Banker, MD, FACPLisa Baris, RHIT, CCS, CCDSLisa Roat, RHIT, CCS, CCDSLolita M. Jones, MSHS, RHIA, CCSLorraine Fernandes, RHIALorraine M. Martínez Lyman Sornberger, MBALynn Cleasby, RHIT, AHIMA-Approved ICD-10-CM/PCS TrainerMachaelle Diaz, CMA, CPC, CRC, CPMA, ICD-10CM, CGSC Mandy Willis, CCS, CPEHRMargaret A. Skurka, MS, RHIA, CCS, FAHIMAMaria Bounos, RN, MPH, CPC-HMarie Morin, RN, MSN, CCS,CRCMark E. Laudenberger, MS, RHIAMark LottMark Morsch, MSMark SpiveyMary Beth Haugen, MS, RHIAMatt Lambert, MD Megan Cortazzo, MDMel Tully MSN, CCDS, CDIP Melanie Endicott, MBA/HCM, RHIA, CDIP, CCS, CCS-P, FAHIMA, AHIMA-Approved ICD-10-CM/PCS TrainerMelinda Tully, MSN, CCDSMichael A. Salvatore, MD, FACPMichael Calahan, PA, MBAMichele HibbertMichelle M. Wieczorek RN RHIT CPHQ Mikel HodgsonMira GoldsteinNate DueaNena Scott, MSEd, RHIA, CCS, CCS-P, CCDSNick van Terheyden, MD Odin MaylandPamela Charney, PhD, RDPamela P. Bensen, MD, MS, FACEP, AHIMA approved ICD-10-CM/PCS TrainerParesh K. ShahPatricia Trela, RHIAPatty T. Sheridan, MBA, RHIA, FAHIMA, and Valerie Watzlaf, PhD, MPH, RHIA, FAHIMAPaul Weygandt, MD, JD, MPH, MBA, CPEPiyush Mathur, MD, FCCM; Ahmad Maher Adi, MD; Brett Elo, DO; David Jury MD; Erica E. Remer, MD, FACEP, CCDSRachel Mack, RN, MSN, CCDS, CDIP Ralph Wuebker, MD, MBARebecca DeGrosky, RHITRebecca Gruszkos, LCSW, ACHP-SWReed D. Gelzer, MD, MPHRenee Stamp, CPC, COC, CPC-I, CPMARhonda Buckholtz, CPC, CPMA, CPC-I, CRC, CDEO, CHPSE, COPC, CPEDC, CGSCRhonda Taller, MHARobert S. Gold, MDRonald Hirsch, MDRose T. Dunn, MBA, RHIA, CPA, FACHE, FHFMA, CHPS, AHIMA-approved ICD-10-CM/PCS TrainerRudy Braccili, Jr.Sabrina Yousfi, MBA, RHIA, CDIP, CCSSally Streiber, BS, MBA, CPC, CEMASandra Draper, RHIT, CCSSandra L. Brewton, RHIT, CCS, CHCA, CPC, AHIMA-Approved ICD-10-CM/PCS TrainerSandra Routhier, RHIA, CCS, AHIMA Approved ICD-10-CM/PCS TrainerSarah Laird, RHIA, CCSSarguni Singh, MD, Hemali Patel, MD, and Debra Anoff, MDScot Nemchik, CCS, AHIMA-Certified ICD-10 Trainer, and Patty T. Sheridan, MBA, RHIA, FAHIMAShannon DeConda CPC, CPC-I, CEMC, CMSCS, CPMA®Sharon Easterling, MHA, RHIA, CCS, CDIP, CRC, FAHIMASharon Lee Savinsky, MSN, RN CDISSheri Poe Bernard, CCS-P, CPC, CRC, CDEOSherry WilsonSheryl Markowitz, LCSW, LISWsStacey Elliott, CCS, CPCStanley Nachimson, MSStefani Daniels, RN, MSNA, ACM, CMACStephanie Thompson, ICD10monitor National CorrespondentStephen Sokolyk, MD, MHASusan Gatehouse, RHIT, CCS,CPC, AHIMA-Approved ICD-10-CM/PCS TrainerSusan M. Howe, RHIT, CCS, CASCC, and an AHIMA-Approved ICD-10-CM/PCS trainerTammy Combs, RN, MSN, CDIP, CCS, CCDSTerrance Govender, MD Terry Fletcher, BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, CMCS, ACS-CA, SCP-CA, QMGC, QMCRCTerry MillerdThomas Ormondroyd, BS, MBATiffany Ferguson, LMSW, ACMTim BavosiTim McMullen, JD, CAETimothy Powell, CPATina Ferguson, RN, CCDSTorrey BarnhouseTracy Boldt, RN, BSN, CCDS, CDIPValerie Fernandez, MBA, CCS, CPC, CIC, CPMA, AHIMA-Approved ICD-10-CM/PCSValerie J. Watzlaf, PhD, MPH, RHIA, FAHIMAVictoria M. Hernandez, RHIA, CDIP, CCS, AHIMA-Approved ICD-10-CM/PCS TrainerVinita Manoraj, MD, CHCQMWilbur Lo, MD, CDIP, CCA, AHIMA-Approved ICD-10-CM/PCS TrainerWilliam L Jonakin, MD, CPC, CRC

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