HCC Coding and Drawing Lines | HCC Coding Tutorial

HCC Coding and Drawing Lines | HCC Coding Tutorial http://www.cco.us/hcc-coding-risk-adjustment-course-yt

Q: (HCC Coding Lines) You talked about drawing lines before when doing HCC coding. Can you give me an example of how to do that?
A: Well, you bet I can. So, we can abstract a case and I’m going to show you how to do that. I actually found a case and wanted to give you an idea of how to do that… Here’s our case and what I did was I highlighted the keywords that we’re going to be looking at.

We’ve got a 65-year old male, he’s on Medicare.

What is he being seen for? He is being seen for a follow up with a backache. So, that is his chief complaint. He is also following up on hypertension, but it’s controlled with medication. He stated that he had chest pain, the patient states it goes to the right side of the neck and gets headaches.

No, I’m not going to read all of this, I’m going to just highlight that, otherwise, we’d be here all day because it was a relatively long case. So, then, as you’re doing the HCC coding, you’re going to start looking at the HPI – what’s going on. Now, as I scan through this, this is all about one thing and it’s about GERD; he has reflux and GERD.

The three main things that I’ve seen at this point is, we have got, for diagnoses, we’ve got a backache, we’ve got hypertension, and we’ve got GERD. Now, remember the HPI is what the patient is telling the doctor, pretty much. He has chest pain and he’s got angina that the patient is describing, as well.

Now, the way you draw lines though, is that next, I’m going to go down to the bottom – I usually work charts backwards anyway because you’re going to look to make sure it’s a valid signature and stuff like that – so I’m going to go down here and I’ll say, “What is the doctor saying he is assessing, or the assessment and the plan is going to be?” We have chest pain, unspecified.

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