High-Risk Diagnosis Scenarios

High-Risk Scenarios Interactive Guide

Follow these steps to explore how the system detects high-risk diagnosis codes lacking proper supporting evidence:

1
Generate High-Risk Dataset

Click the "Generate High-Risk Data" button to create a dataset specifically designed to test validation rules for high-risk diagnoses.

Technical Context: This generates FHIR resources containing diagnosis codes from four high-risk categories: Acute Stroke, Acute MI, Embolism, and Lung Cancer.

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2
Review Risk Assessment Summary

Examine the "Risk Assessment Summary" panel in section [2] to see the total number of diagnoses and how many were flagged as high-risk.

Business Context: In a real audit preparation scenario, this would represent the organization's potential audit exposure across specific high-risk categories.

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3
Explore Categorical Results

Review each high-risk category in section [3] to see specific diagnosis codes that were flagged and understand what supporting evidence was missing.

Technical Context: Each category demonstrates different validation rules based on CMS/OIG requirements.

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4
Examine Individual Diagnoses

Click on any diagnosis code in the lists to view detailed information about why it was flagged and what supporting evidence was expected but missing.

Business Context: In a production environment, this data would help coders and auditors identify which patient records need review before submission.

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5
Navigate Between Pages

Use the pagination controls to navigate between pages of diagnosis codes within each category.

Technical Note: Each high-risk category contains approximately 20 diagnoses, limited to 5 per page for better readability.

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High-Risk Conditions & Required Supporting Evidence:
  • Acute Stroke (HCC 100): Must have an inpatient encounter supporting the diagnosis
  • Acute MI (Heart Attack) (HCC 86): Must have an inpatient diagnosis within ±60 days
  • Embolism (HCC 107, 108): Must have a matching anticoagulant medication prescription
  • Lung Cancer (HCC 9): Must have radiation, chemotherapy, or surgery within ±6 months
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