Reviewing HCCs for inpatients as new version released

Why This Topic Matters

The update may affect how hospitals capture and support diagnoses in the inpatient setting, with implications for risk adjustment, quality measurement, and reimbursement. It is relevant for CDI professionals, inpatient coders, and other documentation-focused teams tracking yearly CMS changes.

Article Sections

1. Mental health and substance use additions

   Discusses the expansion of mental health and substance use categories in the updated HCC model and the broader documentation and education implications for CDI and coding teams.

2. CKD stage 3

   Reviews the addition of a chronic kidney disease category in the new HCC version and its significance for inpatient documentation review and risk adjustment.

3. Inpatient concerns

   Addresses how HCC review can intersect with inpatient CDI workflows, documentation quality, and overlap with other inpatient-focused review areas.