Impact of Observation CDI

I am wondering what achieves the most impact for CDI in reviewing observation cases (other than potential obs to inpt admissions).  The typical things like specificity of diagnoses (CHF, Pneumonia, CKD,etc) and capturing morbid obesity, etc.  If this patient never becomes an inpt, how much impact is there for payment?  How much overall impact for other measures like risk adjustments, HCC's, etc?

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