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Provider coding education
HCC risk adjustment coding and documentation
The following links are intended to facilitate documentation, HCC (hierarchical condition category) Risk Adjustment ICD10 coding diagnoses and services that are provided to patients with Blue Cross and Blue Shield of North Carolina (Blue Cross NC) coverage:
- Bipolar, Delusional & Personality Disorders (January 11, 2023)
- Coagulation Defects & Other Specified Hematological Disorders (March 20, 2023)
- Congestive Heart Failure (February 21, 2023)
- DVT / PE One Pager (PDF)
- Diabetes (March 20, 2023)
- Epilepsy, Seizure Disorders & Convulsions (January 18, 2023)
- Guidelines for Coding Cerebral Infarction (PDF)
- Guidelines For Coding General (PDF)
- Guidelines for Coding Historical Conditions (PDF)
- Inflammatory Bowel Disease - Crohn's & Ulcerative Colitis (February 21, 2023)
- Other Significant Endocrine and Metabolic Disorders Documentation and Coding (PDF)
- Risk Assessment Coding: Where Do I Chart That? (PDF)
- Pediatric Condition Coding Resource Sheet (Including Asthma) (PDF)
- Phases of Cancer Coding Toolbox (PDF)
- Type I Diabetes Reference Guide (PDF)
- Type II Diabetes Reference Guide (PDF)
- Substance Use Disorder Documentation and Coding (PDF)
Webinar recordings
- Acute Myocardial Infarction and Cerebral Infarction - YouTube
- Annual Comprehensive Visits - YouTube
- Behavioral Health Coding for Blue Cross Medicare Advantage and ACA Members - YouTube
- CMS v24 to v28 - YouTube
- Diabetes Coding - YouTube
- Embolism and DVT Coding - YouTube
- General Coding Tips - YouTube
- Pediatric Coding - YouTube
- Pulmonary Coding - YouTube
- Phases of Cancer Coding - YouTube
- Risk Program Attribution - YouTube
Disclosures:
The external coding guidelines provided on this website are intended as general information only and are designed to communicate information about coding and documentation in an educational format. Blue Cross NC is not providing or offering medical or legal advice, but rather, practical and useful information and tools in the area of clinical documentation and coding. Every reasonable effort has been taken to ensure that the educational information provided is accurate and useful. We make no claim, promise or guarantee of any kind about the accuracy, completeness or adequacy of the content for a specific claim, situation or provider office application and expressly disclaim liability for errors and omissions in such content. No guarantee is provided that the use of this information will prevent differences of opinion or disputes with Medicare, Medicaid or other third-party payers as to the amount that will be paid to providers. As diagnostic codes change annually, you should reference the current version of published coding guidelines and/or recommendations from nationally recognized coding organizations for the most detailed and up-to-date information. No copy or use beyond the online access or internal use of this presentation by an individual provider office should occur without express permission of Blue Cross NC.
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
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