Are you asking what makes a condition Chronic and Stable?
If so I have a good reference from
MedlinePlus.gov:
"
Acute conditions are severe and
sudden in onset. This could describe anything from a broken bone to an asthma attack. A
chronic condition, by contrast is a
long-developing syndrome, such as osteoporosis or asthma. Note that osteoporosis, a chronic condition, may cause a broken bone, an acute condition. An acute asthma attack occurs in the midst of the chronic disease of asthma. Acute conditions, such as a first asthma attack, may lead to a chronic syndrome if untreated".
In other words, if a condition is thought to be long-lived then it's probably chronic. Conversely, if the condition is thought to have a short life span, then acute is probably the right status.
In terms of Stable vs. Not-stable (worsening), this really falls on the provider's documentation. Does the provider spell it out for us that the patient is still having a rough time? Does the provider have to change the medication/problem management because of no/little relief by current management? I ask every provider to be explicit as possible in order to remove any doubt of how the patient is doing and progressing/degressing. Helps a ton when we audit and should shield them more in an external audit.
In summary, a condition can both be acute and chronic depending on the situation. The condition could even go from being acute to chronic, as Medline states above. Support your provider to get their documentation to a level which would leave no doubt on the patient's condition and status.