How to Code Post-COVID 19 Recovery Programs

COVID 19 recovery

Of all the patients who have recovered from COVID-19, 5-15% suffer from lingering symptoms that persist weeks and even months after they test negative for COVID-19. To help these recovered patients deal with their lingering symptoms, some healthcare organizations have developed post COVID 19 recovery programs.

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CMS PEPPER Report to Include Total Knee Arthroplasty (TKA)

TKA

The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a quarterly electronic data report that contains a hospital’s claims data statistics for Medicare Severity Diagnosis-Related Groups (MS-DRGs). CMS has approved the addition of a new target area to the quarterly PEPPER report related to inpatient total knee arthroplasty (TKA).

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Your Quick Guide to HCC Risk Adjustment Models

quick guide to hcc

There are two different Hierarchical Condition Category (HCC) models used to calculate risk adjustments: the CMS-HCC model and the HHS-HCC model. Does your facility know how and when to use them? Our detailed HCC risk adjustment infographic explains the differences and usages for each HCC model.

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