Accurate Diagnosis Documentation and Coding (ADDC) Education and Resources
Purpose of Health Care Accurate Diagnosis Documentation and Coding (ADDC)
What is Accurate Diagnosis Documentation and Coding (ADDC)?
ADDC is a way to ensure all patients’ chronic and other conditions are documented and coded at the highest level of specificity at least once yearly. CMS uses a methodology to calculate what to pay a health plan based on a patient’s health status, demographics, and their likely use of health care services utilizing ADDC data.
Why is Accurate Diagnosis Documentation and Coding (ADDC) important for health care providers?
ADDC helps ensure comprehensive care is conducted for the patients they treat. When diagnosis, documentation, and coding processes are completed with accuracy, patients can more effectively be placed in chronic disease management programs. ADDC also aligns with several Quality Metrics and ultimately leads to improved patient care and experience.
Recorded Presentations
Achieving Compliant Documentation
Three steps to ensure compliant diagnosis coding.
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Risk Adjustment Resources
Provider Clinical Documentation Tips |
This resource can assist providers with:
Consistently document patient’s active, chronic diagnoses in the “Assessment / Impression” and “Plan” to the highest level of known specificity and include the current status and supporting *M-E-A-T criteria for each condition to support accurate diagnosis code assignment during the encounter.
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CMS Reference Documents
- CMS Risk Adjustment: Risk Adjustment | CMS
- Medicare Risk Adjustment Eligible CPT/HCPCS Codes: Medicare Risk Adjustment Eligible CPT/HCPCS Codes | CMS
- Medicare risk adjustment information: Risk Adjustment | CMS
- Evaluation of the CMS-HCC Risk Adjustment Model
- Model diagnosis codes
- Risk Adjustment model software (HCC, RxHCC, ESRD)
- Information on customer support for risk adjustment
- ICD-10 Guidelines: ICD-10 | CMS