ctepen
New
My company has asked me to assist with a mock RADV audit, and I was wondering how to handle to following:
-Asked to validate diagnosis of Unspecified Atrial fibrillation (I48.91), which maps to HCC 96 (Specified Heart Arrhthymias)
-However, can only verify Persistent Atrial Fibrillation (I48.1), which also maps to the same HCC
Would this be allowable in a CMS RADV audit? I'm assuming so, but you know what they say about assuming things....
Thank you all so much for your knowledge and expertise!
-Asked to validate diagnosis of Unspecified Atrial fibrillation (I48.91), which maps to HCC 96 (Specified Heart Arrhthymias)
-However, can only verify Persistent Atrial Fibrillation (I48.1), which also maps to the same HCC
Would this be allowable in a CMS RADV audit? I'm assuming so, but you know what they say about assuming things....
Thank you all so much for your knowledge and expertise!