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It may sound counterintuitive, but two patients who are attributed the same diagnosis during a patient encounter can have wildly divergent risk-adjustment coding scores.
When coding under a risk-adjustment paradigm, capturing the full range of a patient’s chronic conditions takes on elevated importance. That’s because your payments, and ultimately your coding compliance, may be impacted.
Kayla Lee, CPC, kicked off her session on radiofrequency ablation at the Advanced Specialty Coding, Compliance and Reimbursement Symposium with a trivia question.
An anesthesia group noticed that it had stopped receiving payments from a major private payer. The practice couldn’t figure out what happened.
Senate Democrats took a stab, but came up short at stopping the new short-term limited-duration plan rule that would allow beneficiaries to keep low-cost health insurance that doesn't meet ACA standards for up to three years.

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