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Edwards, Jack
Code Recovery Completed
Coding Recovery for this patient has been completed.

1HCC Review


Encounter Summary
( Results: 3 )
Serivce Date
09/25/2015
Clinic
Eastside Family Medicine
Physician
Dr. Emma Meyers
Encounter POS CPT CPT Description Modifiers Diagnosis
876554390 11 G0439 Annual Wellness Visit Subsequent V70.0
876554390 11 90656 Influenza Virus Vacc Split Prsrv Fr 3 Yrs + IM V70.0
876554390 11 G0008 Admin influenza virus vac V70.0

( Total HCCs: 5 )
Most Recent HCC Capture
Serivce Date
08/05/2014
Diagnosis
250.00
Physician
Dr. Emma Meyers
Diagnosis Description
DMII wo cmp nt st uncntr

HCC Information

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Most Recent HCC Capture
Serivce Date
12/12/2014
Diagnosis
V85.43
Physician
Dr. Frances Volare
Diagnosis Description
BMI 50.0 - 59.9 Adult

HCC Information

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HCC Reviews Completed
All HCC reviews have been completed.

2Quality Measures

   

Encounter Summary
( Results: 3 )
Serivce Date
09/25/2015
Clinic
Eastside Family Medicine
Physician
Dr. Emma Meyers
Encounter POS CPT CPT Description Modifiers Diagnosis
876554390 11 G0439 Annual Wellness Visit Subsequent V70.0
876554390 11 90656 Influenza Virus Vacc Split Prsrv Fr 3 Yrs + IM V70.0
876554390 11 G0008 Admin influenza virus vac V70.0

( Total HCCs: 1 )
Eligibility
Measure Type
HEDIS/ACO/STAR
Eligible Measures
The percentage of members 18-74 years of age who had an outpatient visit and wholse body mass index (BMI) was documented during the within the last 2 year.

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3Hospital Acquired Conditions (HAC)


There are no HACs to review.

4Mortality Review


There are no Mortality reviews.

5Wellness


Encounter Summary
( Results: 3 )
Serivce Date
09/25/2015
Clinic
Eastside Family Medicine
Physician
Dr. Emma Meyers
Encounter POS CPT CPT Description Modifiers Diagnosis
876554390 11 G0439 Annual Wellness Visit Subsequent V70.0
876554390 11 90656 Influenza Virus Vacc Split Prsrv Fr 3 Yrs + IM V70.0
876554390 11 G0008 Admin influenza virus vac V70.0

Summary
Measure Program
HEDIS/ACO/STAR
Measure Description
Annual Wellnes visit for Seniors 65+

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6TCM


Encounter Summary
( Results: 3 )
Serivce Date
09/25/2015
Clinic
Eastside Family Medicine
Physician
Dr. Emma Meyers
Encounter POS CPT CPT Description Modifiers Diagnosis
876554390 11 G0439 Annual Wellness Visit Subsequent V70.0
876554390 11 90656 Influenza Virus Vacc Split Prsrv Fr 3 Yrs + IM V70.0
876554390 11 G0008 Admin influenza virus vac V70.0

Qualifying IP Discharge Summary
Admit Date
07/11/2015
Discharge Date
07/16/2015
Encounter Number
123123500
Final DRG
469
Discharge Status
Home
Facility
River North Hospital
Visit Type (IP/OBS)
IP
Principal Diagnosis
v43.64
Attending Physician
Dr. Eric Schmidt

TCM Information

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7CCM


Enrollment Summary
( Results: 3 )
Enrollment Date
09/25/2015
Enrollment Physician
Dr. Emma Meyers
Encounter POS CPT CPT Description Modifiers Diagnosis
876554390 11 G0439 Annual Wellness Visit Subsequent V70.0
876554390 11 90656 Influenza Virus Vacc Split Prsrv Fr 3 Yrs + IM V70.0
876554390 11 G0008 Admin influenza virus vac V70.0

Most Recent CC Capture
Service Date
08/05/2015
Diagnosis
250.00
Physician
Dr. Emma Meyers
Diagnosis Description
DMII w/o cmpl nt st unsp
HCC
HCC 19
HCC Description
Diabetes w/o compl
Service Date
10/11/2014
Diagnosis
410.91
Physician
Dr. Emma Meyers
Diagnosis Description
AMI of unspecified site
HCC
HCC 86
HCC Description
Acute Myocardial Infraction
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CCM Information

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