Specify categories into which the responses can be placed But the more serious consequences of upcoding and acts of medical abuse and fraud could have your group facing federal penalties and expensive fines. Key coding conventions may be found in Volume I, Volume II or within both volumes. While this particular change in diagnosis coding would not affect the payers decision about medical necessity and payment, it does affect the risk score calculation of the patient. What the are codes applied to an injury or poisoning? Asthma is the most common chronic childhood disease in the world. Eliminate case(s) with missing item(s) from all further analyses Uncontrolled diabetes does not have a direct code in ICD-10-CM. Given the complexity of documentation and coding for accurate HCC capture, it is best practice for both healthcare provider organizations and payers to conduct regular monitoring for correct coding. Previously the provider had documented this was related to her atherosclerosis and ordered wound care. The MASS certification is an extension of the CASS system, which is a process designed in cooperation with the mailing industry to improve the accuracy of postal codes that appear on mail. "When you code from memory, you run the risk of writing down the wrong codes," she says. a. For risk adjustment, reporting of chronic conditions is necessary at least once each calendar year for accurate risk score calculation. This Partnership in Tomorrow presentation reviews CASS/MASS Cycle M and N requirements. None of these are correct. x=t+1,y=t2;