Monthly Archives: "January, 2014"

Enrollee Risk Assessment Code in RAPS Starts Jan 1, 2014

Enrollee Risk Assessment Code in RAPS Starts Jan 1, 2014

Effective for dates of service starting 1/1/2014, risk adjustment data (RAPS files) submitted by PACE organizations and MA plans are accepted only if the new field “Risk Assessment” is populated.

The Risk Assessment field must contain one of the following values:

A. Diagnosis code comes from a clinical setting (i.e, not done in a patient’s home)

B. Diagnosis code comes from a non-clinical setting (i.e, not done in a patient’s…

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Diagnosing and Coding for Chronic Kidney Disease

Diagnosing and Coding for Chronic Kidney Disease

By: Angie Hlad, CRN-C, Risk Adjustment and Coding Coordinator

Chronic kidney disease (CKD) is the gradual, and often permanent, loss of kidney function.   It is a progressive condition  that can result in significant morbidity and mortality.  The condition is common in the elderly , and impacts the PACE population.  Nearly 50% of individuals over 70 years old meet the definition of CKD…

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