HCPro, JustCoding Inpatient - 2019 Issue 14 (April)
The role of coders and CDI teams in HACRP success
April 2nd, 2019
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Article Overview
This article provides a high-level overview of CMS’ Hospital-Acquired Condition Reduction Program (HACRP) and the role of inpatient coding, CDI, and HIM staff in supporting accurate documentation and reporting. It covers the program’s scoring structure, the types of quality measures involved, the importance of present-on-admission reporting and clinical validation, and the broader impact of accurate hospital-acquired condition data on reimbursement and patient records. It is intended for coding professionals, CDI teams, HIM staff, and other hospital quality stakeholders who work with inpatient documentation and quality metrics.
Why This Topic Matters
HACRP can affect Medicare reimbursement and hospital quality performance, so accurate documentation and coding are important for both financial and clinical record integrity. The article helps readers understand the general areas where coding and CDI teams can influence quality reporting without turning the premium content into a substitute for the full guidance.
Article Sections
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HACRP: What to expect
Introduces the program’s general scoring structure and the main measurement domains used in the overall hospital-acquired condition score. It also references the timeframe and measure categories involved in the program update discussed in the article.
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Ensuring the accuracy of HAC scores
Discusses the role of documentation review, coding, CDI, and clinical validation in supporting accurate reporting under the program. It also addresses general issues related to present-on-admission reporting, claims data, and abstracted infection data.
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HACRP is here to stay
Summarizes the article’s closing discussion of the program’s continued relevance and the broader importance of accurate hospital-acquired condition reporting. It also notes the impact on medical records, patient care continuity, and population health uses of the data.
What You Will Learn
- How HACRP is structured at a high level
- Which general quality measure domains are involved in HACRP scoring
- Why documentation accuracy matters for inpatient quality reporting
- How coding and CDI teams contribute to hospital-acquired condition reporting
- How present-on-admission status and clinical validation fit into the reporting process
- Why accurate hospital-acquired condition data matters beyond reimbursement
Who Should Read This
- Inpatient coders
- CDI specialists
- HIM professionals
- Hospital quality staff
- Revenue integrity teams
- Clinical documentation managers
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