There are 2 types of paroxysmal tachycardia: Paroxysmal tachycardia is characterized by periods of rapid heartbeats that start and stop abruptly. Tachycardia is a fast heart rate in adults a rate greater than 100 beats per minute is considered tachycardia. Arrhythmias occur when the electrical impulses that coordinate your heartbeats don’t work properly, causing your heart to beat too fast, too slow or irregularly. Health plans also engage in chart review projects to ensure member diagnoses are being reported accurately.Īrkansas Health and Wellness engages providers through various incentive programs that reward providers for risk adjustment gap closure.Īn arrhythmia is an abnormal heart rhythm. #Icd 10 look up for referal codeWe encourage all providers to take every face-to-face encounter as an opportunity to provide comprehensive care and document chronic and co-existing conditions, active status conditions, and pertinent past conditions using the applicable ICD-10 code and supporting the condition with proper documentation in the medical record.Īrkansas Health and Wellness is required to validate member diagnosis annually through a Risk Adjustment Data Validation (RADV) audit. This information is gathered from claims data and information obtained from medical record reviews and audits. Effective Risk Adjustment programs ensures members are receiving quality care and enable health plans to offer more comprehensive and affordable benefits to members.Īrkansas Health and Wellness is required by law to report complete and accurate diagnostic information on enrollees. Risk Adjustment prevents health plans from only attracting and enrolling healthy members, known as adverse selection. Risk Adjustment is the method developed and used by the Department of Health and Human Services (HHS) to predict health costs of members enrolling in Affordable Care Act (ACA) or Medicare Advantage (MA) plans.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |