HCC Blog by Caridad

Social determinants include societal and environmental conditions such as food, housing, transportation, education, violence, social support, health behaviors and employment. Among these “Z” codes  are the following series related to potential hazards due to family and social circumstances impacting health status:  Z55-Z65 – Persons with potential health hazards related to socioeconomic and psychosocial circumstances Z55 – Problems related to education and literacy Z56 – Problems related to employment and unemployment Z57 – Occupational exposure to risk factors Z59 – Problems related to housing and economic circumstances Z60 – Problems related to social environment Z62 – Problems related to upbringing Z63 – Other problems related to primary support group, including family circumstances Z64 – Problems related to certain psychosocial circumstances Z65 – Problems related to other psychosocial circumstances Based on the ICD-10-CM Official Guidelines for Coding and R

"ACOs participating in the Medicare Shared Savings Program (Shared Savings Program) are required to completely and accurately report quality data that are used to calculate and assess their quality performance. In order to be eligible to share in any savings generated, an ACO must meet the established quality performance standard that corresponds to its performance year. This document presents the 31 quality measures used to assess ACO quality performance and the quality performance standard for the 2018 performance year for the Shared Savings Program ." ACO are evaluated by 4 domains: 1. Patient/Caregiver Experience 2. Care Coordination/Patient Safety 3. Clinical care for At-Risk Population 4. Preventative Health https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/2018-reporting-year-narrative-specifications.pdf Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM

This page from Noridian covers Documentation Guidelines for Amended Medical Records. Please use it for reference. Topics include: Elements of a Complete Medical Record Amended Medical Records      - Late Entry      - Addendums      - Corrections Falsified Documentation This includes the creation of new records at the time records are requested      - Back-dating entries      - Post-dating entries      - Pre-dating entries      - Writing over, or      - Adding to existing documentation (except as described in late entries, addendums and corrections) https://med.noridianmedicare.com/web/jeb/cert-reviews/mr/documentation-guidelines-for-amended-records [Jurisdiction E -  Medicare Part B] JE Part B  / Medical Review / Documentation Guidelines for Amended Records Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritati