This episode of our award-winning podcast begins a two-part series on the CMS Star Rating. The Centers for Medicare and Medicaid Services (CMS) provide the star rating system to evaluate health and drug services for the benefit of patients, enabling them to make informed care decisions. The next two episodes will examine the star mortality rating specifically, its significance and what clinical practices and organizations can do to improve their mortality ratings.
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and Quality
This episode of our award-winning podcast begins a two-part series on the CMS Star Rating. The Centers for Medicare and Medicaid Services (CMS) provide the star rating system to evaluate health and drug services for the benefit of patients, enabling them to make informed care decisions. The next two episodes will examine the star mortality rating specifically, its significance and what clinical practices and organizations can do to improve their mortality ratings.
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Senior Principal, Clinical Operations and Quality
Vizient
Guests:
Linda Wiseman, BSN, RN, CCDS
Senior Consulting Director, Clinical Documentation Improvement
Vizient
Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC
Consulting Director, Clinical Documentation Improvement
Vizient
Show Notes:
[01:30] CMS Star Ratings defined
[01:58] CMS Star mortality rating explained
[03:27] Mortality condition categories
[03:59] Exclusion criteria
[06:58] Non-compliance example with heart failure – how to code correctly
[07:55] Coding to the correct principal diagnosis
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Linda’s email: linda.wiseman@vizientinc.com
Rachel’s email: rachel.mack@vizientinc.com
Fact sheet on CMS Stars Ratings: 10.6.22 FACT SHEET - 2023 Medicare Star Ratings.pdf
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