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Notably, fewer ICD-10 codes qualify for mapping to HCCs, reflecting CMS’ focus to reduce the number of diagnoses that count towards risk adjustment. Newly added HCCs cover more specific conditions, removing redundant codes and adjusting groupings to align with actual patientrisk. Document why you believe that.
While process mapping documents what happens, workflow analysis examines why it happens and how it can be improved to enhance patient care quality. Healthcare organizations typically conduct workflow analysis when implementing new EHR systems, upgrading existing platforms, or addressing performance issues that impact patient care.
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