MRA Alerts and Updates

QUESTION: What are the HHS-HCC categories for 2021 and where can I find the risk adjustment factors?  What ICD-10 codes map to ...

QUESTION:  What are the CMS documentation guidelines for who may elicit and document the patient’s history, including ROS, HPI and...

QUESTION:  Can a diagnosis of  secondary hypercoagulable state, (D68.69) be assigned for an uncontrolled diabetic patient who is t...

Question: If a patient has multiple diabetic complications, will coding all of them have an impact on the risk score? Answer: ...

Question: When the BMI is below 40, but morbid obesity is documented by the anesthesiologist (no other documentation regarding th...

Question: Medical record documentation indicates the patient is taking opioids prescribed by their physician for treatment of chro...

Question: Should recreational marijuana use be coded when documented by the patient’s provider? Answer: No, a code for the mari...

Question:  When does CMS run the risk score model to calculate risk scores for Medicare Advantage? What is the deadline for su...

QUESTION:  How is hyperaldosteronism coded in ICD-10? Does the etiology impact code choice? ANSWER:  Hyperaldosteronism occu...

Question: How is orthostatic hypotension coded in ICD-10? Does the pathophysiology or severity of OH impact the code ch...

Question: How would an AAA be coded s/p EVAR? Is the coding the same with an open abdominal repair? Answer: ...

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Are you looking for the best education available in risk adjustment, value-based payments and/or CDI? Good News - You have found...