Organizations and CDI specialists must have a thorough understanding of how regulations and guidelines impact risk adjustment in the outpatient setting. A misinterpretation can easily lead to inadvertent upcoding—and that can lead to costly audits, settlements, and accusations of fraud.
This week's note delves into how to document time on claims for care management services provided in a rural health clinic and compares the new types of care management services for 2018.
