Coding

In CalOptima’s ongoing efforts to ensure we report accurate coding and proper chart documentation as required by the Centers for Medicare and Medicaid Services (CMS), we have created coding tips on various topics to assist the provider community.

Coding Reference Guide 2018  Review the ICD-10-CM diagnosis code descriptions.

Chronic Kidney Disease  Learn coding and documentation tips for chronic kidney disease (CKD).

Chronic Obstructive Pulmonary Disease (COPD)  Coding and Documentation tips for COPD and other chronic lung diseases.

CMS Risk Adjustment Data Validation Audit Protocol  Review the definition of Risk Adjustment Data Validation, types of CMS RADV Audits and other key documentation guidelines.

Diabetes Mellitus  Tips for coding and documentation of diabetes mellitus in ICD-10-CM.

Documentation Compliance Standards  CMS requirements for medical record documentation.

Hierarchical Condition Categories Compliance (HCC)  CMS compliance standards for HCC validation.

Major Depressive Disorder  Coding and documentation tips for major depressive disorder.

Neoplasm  Documentation requirements for coding neoplasm in ICD-10-CM.

Progress Notes  Documentation and guidance for progress notes.

Peripheral Vascular Disease  Coding and documentation tips for peripheral vascular disease.

Substance Abuse  Substance abuse documentation tips.

Risk Adjustment Data Validation (RADV) Audit Overview  Review of CMS RADV Audit policy and procedures.