Good Afternoon Coding World,
I am new to auditing for risk adjustment coding. Currently, Coders at my job are allowed to code:
HCC 22 ,if BMI is greater than 40, but provider has not documented obesity or pulled the info from constitutional portion of the exam.
HCC 18, if Accu-check was done, but provider has not documented diabetes.
Could you please provide me with information that either support or don't support this. I know that there is a year to address conditions but i'm very confused as to how this could be ok.
Thanks in advance.
I am new to auditing for risk adjustment coding. Currently, Coders at my job are allowed to code:
HCC 22 ,if BMI is greater than 40, but provider has not documented obesity or pulled the info from constitutional portion of the exam.
HCC 18, if Accu-check was done, but provider has not documented diabetes.
Could you please provide me with information that either support or don't support this. I know that there is a year to address conditions but i'm very confused as to how this could be ok.
Thanks in advance.