CMS has upped the ante on your data collection by tweaking the risk-coding system for 2019 and beyond in a significant way.
By law, they were required to add Chronic Kidney Disease (CKD) stage 3 (ICD-10 N 18.3) to the list of risk code diagnoses.
But in order to collect the additional revenue, you have to make sure you collect and submit the data appropriately.
CKD3 is defined as an estimated or measured GFR between 30 and 59 measured twice two months apart.
Without these measurements, an auditor will default your diagnosis back to Chronic Kidney Disease, undefined—which has no revenue adjustment.
There will be a phase-in of the financial benefit over three years, so you won’t see a lot of the revenue right away. But experience teaches you should start submitting these codes now so you’ll be ahead of the game—and be a winner.
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