Diagnosis Overload: Catching Risk and MDM Creep in Problem Lists

Crystal Tompkins, CDEO, CPMA, CPC, CPB, CRC, COBGC, RCMS

Time: 2:00 pm EST

Webinar Description:

Problem lists can be a goldmine of clinical insight—or a compliance nightmare. This session explores how providers sometimes use diagnosis stacking, inflation, and creative repurposing of chronic conditions to bolster risk scoring or elevate medical decision making. We’ll break down real audit findings, examine what constitutes “bloat” in a diagnosis list, and arm you with practical tools to identify when a diagnosis is just doing too much. Walk away knowing how to spot patterns, document defensibly, and communicate findings back to providers with clarity and confidence.

  • Identify when diagnoses are bloated, stacked, or repurposed to manipulate risk scoring or MDM.
  • Identify red flags in documentation that may suggest inflated or repurposed diagnoses.
  • Understand how exaggerated problem lists impact both MDM scoring and risk adjustment.

 

01.13.2026 Webinar: Diagnosis Overload: Catching Risk and MDM Creep in Problem Lists

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  • Tuesday Jan 13 2026, 2:00 PM - 3:00 PM
  • Virtual Events