CRC Exam Prep Course Advice
I recently purchased the CRC prep course. This is my first time taking a distance learning course for a certification. My CPC and CPMA were both in person training courses. For those who have taken the...
View ArticleGood Risk Adjustment/CRC Resources?
Hello all! I'm an extremely motivated CPC-A currently working in Risk Adjustment and would like to increase my knowledge. I plan on taking the CRC exam in June 2021, I've already bought the 2021 CRC...
View ArticleOsteoporosis in the 'problem list'
For Risk Adjustment, have you encountered guidance to pick up the osteoporosis that is listed in the 'problem list/past medical history' if in the current encounter the patient comes in for a femur...
View ArticleInflammatory spondylopathy
Looking for some help on this... Do conditions such DDD, DJD, spinal stenosis, facet arthropathy and similar conditions, fall under this category? It has been my understanding that an infectious...
View ArticleHCC with New E&M guidelines
Morning Under the NEW E&M guidelines some items conflict with HCC coding- since the level is determined by MDM Problems was defined as a condition that is evaluated and treated- it specifically...
View ArticleCRC Credential
I am very pleased to join the ranks of those who have gone before me and obtained the Certified Risk Adjustment Coder credential. I will happily affix "CRC" to my signature block.
View ArticleActive vs history of cancer during postop period
Patient had lobe excised 12/27/18. Saw the Pulmonologist 2/19 who referred patient to Oncology for adjuvant chemotherapy but stated not sure patient was a candidate due to comorbidities. Saw Oncologist...
View Article2022 Risk Adjustment Guidelines
I wondered if another CRC might be able to help me with a question regarding Risk Adjustment encounter data for 2022.... Does anyone know if the rule to exclude IP claim data applies only to MA Risk or...
View ArticleOCM Coding Question
Our company does OCM coding, it's an HCC type model for Oncology. We haven't started yet but we are looking at a program that will allow us to catch missed codes. This program has a list of missed HCC...
View ArticleCRC job
Hi everyone, Last October I passed my CRC certification, I haven’t been able to find a a job yet. I was wondering if anyone know a recruiter for CRC coder. Thank you
View ArticleCPC-A
Hello everyone, my name is Mariya Zhernosek CPC-A. I'd like to come on here and ask a few questions hoping to get some helpful advice from some of you who have experienced this or are already in the...
View ArticleRetrospective reviews
Hi all, This is a long shot request, but I was wondering if there is anyone out there who works in the Medicaid risk adjustment coding space, preferably in an FQHC, who performs retrospective reviews...
View ArticleHCC values
Hi, I am wondering where I can find a list of HCC categories and the value attached to each one. I found an old one online from the CMS website but it gives 2017 values. Any help would be appreciated.
View ArticleCode descriptors as Diagnoses
Does anyone know of any guidelines that pertain the use of code descriptors as diagnoses in the Assessment? Thanks in advance.
View ArticleDM with comorbidities
I have physicians asking how to document all the DM with comorbidities diagnoses. If a patient has DM with hyperglycemia, DM with neuropathy and DM with retinopathy, should they list all; E11.65,...
View ArticleN18.31, 32 issue
I am having an issue with a 3rd party vendor who is stating that if a provider codes N18.31 or N18.32 with MEAT, but uses the term CKD3 only in the discussion of care that the code needs to be N18.30....
View ArticleMEAT requirements with new E&M changes
Hi all!! I have a question related to Risk Coding and the new E&M changes. I have a doctor in my organzation that is stating that the MEAT requirements are not needed for every condition now...
View ArticleNew E&M changes
Hello everyone, I wanted to ask about the new E&M changes that took effect in January. How does that affect Risk adjustment? I work in primary care and never thought that we received payment for...
View ArticleEpic HCC
For the people utilizing Epic EMR what tools within Epic have you used (with coder support) that have been successful in helping the providers close HCCs? Specifics please.
View ArticleReference Material
Hello Medical Coding friends! Do you have Reference materials you refer to frequently or extra books (other than our regular coding books) that you'd suggest? I'm looking to do deeper dives on coding...
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