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Case Study Library

Real-world tier assignment examples

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Browse 10 real-world cases across all three tiers

Showing 10 of 10 cases

John D., 68M
Tier 1
Left total knee replacement
Z96.652 | Orthopedic - Joint Replacement
Comorbidities: 2
• Hypertension, controlled
• Hyperlipidemia
Mary S., 72F
Tier 1
Right hip fracture s/p ORIF
S72.001A | Orthopedic - Fracture of Lower Extremity
Comorbidities: 1
• Osteoporosis
Robert M., 65M
Tier 2
Ischemic stroke, left MCA
I63.512 | Stroke
Comorbidities: 2
• Diabetes mellitus type 2, insulin-dependent
• Atrial fibrillation
Linda K., 58F
Tier 2
Traumatic brain injury
S06.2X0A | Brain Injury
Comorbidities: 2
• COPD, moderate
• Chronic kidney disease, Stage 3
James P., 70M
Tier 2
Spinal cord injury, incomplete C6
S14.116A | Spinal Cord Injury
Comorbidities: 2
• Neurogenic bladder
• Neurogenic bowel
Patricia L., 76F
Tier 3
Left CVA with right hemiparesis
I63.9 | Stroke
Comorbidities: 3
• Pneumonia, hospital-acquired
• Diabetes type 2, insulin-dependent
+ 1 more...
Michael T., 62M
Tier 3
Bilateral lower extremity amputation
Z89.619 | Amputation
Comorbidities: 3
• Sepsis
• Acute kidney injury
+ 1 more...
Susan W., 81F
Tier 3
Right hip fracture s/p ORIF
S72.001A | Orthopedic - Fracture of Lower Extremity
Comorbidities: 4
• Acute CHF exacerbation
• Atrial fibrillation with RVR
+ 2 more...
David H., 55M
Tier 3
Guillain-Barré syndrome
G61.0 | Neurological
Comorbidities: 3
• Respiratory failure, acute
• DVT, left lower extremity
+ 1 more...
Barbara C., 69F
Tier 3
Left total knee replacement
Z96.652 | Orthopedic - Joint Replacement
Comorbidities: 4
• Surgical wound infection
• Diabetes type 2, uncontrolled
+ 2 more...