Are your problem lists a problem? Providers have enough documentation burdens already. For providers, maintaining problem lists takes a backseat to patient care…as it should. However, an up-to-date and accurate problem list can facilitate patient safety and care as well as being a key aspect of some risk adjustment contracts. HIM and CDI specialists have a role to play.
HCC Problem Lists: Challenges and Opportunities will address your role in supporting this critical aspect of clinical documentation:
- Establish and support a process of annual review to ensure the problem list is current and reflected in the provider’s documentation
- On going support for problem list accuracy: Coders and CDI Specialists may query providers or advise them on completeness of documentation
- How to improve your annual re-set recovery for Medicare Advantage patients