HCPro, JustCoding Inpatient - 2020 Issue 47 (December)
Q&A: Reviewing charts for CCs/MCCs
December 8th, 2020
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Article Overview
This article explains a chart-review workflow for inpatient coding and CDI teams focused on improving capture of complication and comorbidity indicators. It outlines how organizations can route cases for review, use the process to monitor staff performance, and understand why improved capture can affect case mix and reimbursement. The piece is aimed at hospital coders, coding managers, CDI staff, and revenue cycle leaders evaluating chart-review or pre-bill edit processes.
Why This Topic Matters
It helps organizations assess whether a chart-review process for inpatient claims could improve coding accuracy, support quality monitoring, and influence financial performance.
What You Will Learn
- How a chart-review workflow can be used in inpatient coding operations
- How review queues or pre-bill edits may support coding and CDI oversight
- Why organizations may monitor missed documentation or query opportunities
- How improved capture can relate to case mix and reimbursement
- How to think about staffing effort versus potential return on investment
Who Should Read This
- Hospital coders
- Coding managers
- CDI specialists
- Revenue cycle leaders
- Health information management professionals
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