Wednesday, June 22, 2022
General Session
Back to top
9:00 AM - 10:00 AM, MDT
| 1.00 CEUs COC, CPC, CPC-P, CPB, CPPM, CRC
GS1: Payer and Provider Collaboration/Engagement and Best Practices
Kristen Viviano, CPC, CRC, Approved-Instructor
Kick off the conference with an interactive session focusing on collaboration and partnership! The benefits of positive collaboration between payers and their provider partners within risk adjustment are irrefutable. In this session we will discuss common challenges, do's and don'ts, and best practices.
General
Back to top
10:00 AM - 10:15 AM, MDT
EH1: Break
Breakout Session 1
Back to top
10:15 AM - 11:30 AM, MDT
| 1.25 CEUs COC, CPC, CPC-P, CDEI, CDEO, CEMC, CFPC, CIC, CIMC, CPB, CPEDC, CPPM, CRC
Track - 1A: Chart Dissection - Diabetes
Melissa Kirshner, MPH, AAPC Fellow, CPC, CDEO, CPMA, CRC, CPC-I, CFPC
What do we need in a diabetic patient’s medical record? Do you know all of the ICD-10-CM guidelines? What happens when the documentation and/or coding are not coded to the highest level of specificity? How does that impact our risk adjustment coding and what can we do to help our providers?
10:15 AM - 11:30 AM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPPM, CRC
Track - 1B: Levels of Risk Contracts Considerations – Value-Based Payments Versus Risk Adjustment - Panel
Khushwinder Singh, MD, MHA, CDIP, CPC, CPCO, CPMA, CRC; Kristen Viviano, CPC, CRC, Approved-Instructor
Value based reimbursement is a hot topic. VBR goes far beyond just risk adjustment. Join this engaging panel to learn the importance of knowing what type of risk contract your organization is part of. Whether your organization is just preparing to enter risk contracts or you are already deeply invested, this panel will help you understand what you need to know about the different level of risk.
General
Back to top
11:30 AM - 12:30 PM, MDT
EH2: Lunch Break
Breakout Session 2
Back to top
12:30 PM - 1:45 PM, MDT
| 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM
Track - 2A: Chart Dissection - Cardiology/Vascular
Amy C Pritchett, AAPC Fellow, CPC, CDEO, CPMA, CRC, CPC-I, CANPC, CASCC, CEDC
In this session, we will be dissecting cardiology and vascular procedure records in real-time. We will also discuss the medical necessity and APC components of “getting the code wrong”. We will also discuss new CPT procedure codes for 2022 as related to cardiology and vascular procedures. The participants will be quizzed and be able to respond by polling questions, which will make for a fun and very interactive session!
12:30 PM - 1:45 PM, MDT
| 1.25 CEUs COC, CPC, CPC-P, CEMC, CPB, CPPM, CRC
Track - 2B: Patient Centered Risk Adjustment
Gabriel R Aponte, MSHIA, RN, RHIA, CCS, CCS-P, CDIP, CCDS, CCDS-O, COC, CPC, CDEI, CDEO, CIC, CPMA, CRC, CCC, CHONC
The session will kick off with a risk adjustment foundation. Then, the attendees will learn how to apply a holistic risk adjustment approach based on the patient’s conditions. The presenter will review chronic diseases and their potential manifestations and complications. Also, he will discuss the implementation of screening tests in a clinic workflow to identify possible diagnoses based on the patient’s health profile.
General
Back to top
1:45 PM - 2:15 PM, MDT
EH3: Break
Breakout Session 3
Back to top
2:15 PM - 3:30 PM, MDT
| 1.25 CEUs COC, CPC, CPC-P, CDEI, CDEO, CFPC, CIC, CIMC, CPB, CPPM, CRC
Track - 3A: Chart Dissection - Potpourri
Gabriel R Aponte, MSHIA, RN, RHIA, CCS, CCS-P, CDIP, CCDS, CCDS-O, COC, CPC, CDEI, CDEO, CIC, CPMA, CRC, CCC, CHONC
The learning objectives would be participants of this session will:
1. learn that risk adjustment opportunities appear in all types of charts
2. identify where to look in a medical record for common areas of missed opportunity
3. understand how to look for areas of possible conflict in a record and how to address those with providers
2:15 PM - 3:30 PM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM, CRC
Track - 3B: Payer Audit Findings
Khushwinder Singh, MD, MHA, CDIP, CPC, CPCO, CPMA, CRC; Sheri Poe Bernard, COC, CPC, CDEO, CRC, CPC-I
Many Medicare Advantage organizations may have become complacent in the lull of RADV suspension during the public health crisis. But the DOJ and OIG are working overtime to keep compliance at the forefront, and there are plenty of whistleblowers, too. What can we learn from all their legal focus? This session will explore past and current lawsuits, and what you can do to protect your organization from poor audit results.
General
Back to top
3:30 PM - 4:00 PM, MDT
EH4: Break
Breakout Session 4
Back to top
4:00 PM - 5:15 PM, MDT
| 1.25 CEUs COC, CPC, CPC-P, CDEI, CDEO, CPB, CPPM, CRC
Track - 4A: Risk Adjustment and CDI PANEL
Sheri Poe Bernard, COC, CPC, CDEO, CRC, CPC-I; Gabriel R Aponte, COC, CPC, CDEI, CDEO, CIC, CPMA, CRC, CCC, CHONC; Colleen Gianatasio, CPC, CPCO, CPC-P, CDEO, CPMA, CRC, CPC-I; Khushwinder Singh, MD, MHA, CDIP, CPC, CPCO, CPMA, CRC
In this session we will review value-based care beyond the revenue. Identifying the benefits to capturing the patient’s accurate clinical story for the patient, provider system and payer.
Here are some bullet points of what will be covered:
- The Importance of Capturing Accurate Patient Complexity
- Review the impact to the patient - what is our responsibility to the patient? (E.g., Program eligibility, value of health plan usage, care management)
- Documentation and Coding for Value-Based Care
- Review the impact of the model when accuracy of complexity is stated and not stated.
4:00 PM - 5:15 PM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM, CRC
Track - 4B: Risk Adjustment Vendor Selection - How to Screen, Select, Audit, and Maintain a Partnership
Todd Husty, D.O., F.A.C.E.P.
Capturing all of the risk diagnoses for all patients through risk for optimization is enticing because there is a huge amount of revenue that is possible. But doing so, without regard to looking for proper documentation to support all diagnoses that are submitted, is potentially and likely to be harmful. The presentation will provide real-world audit data and discuss the current related actions taken by CMS and other government agencies. We will discuss what you need from a risk adjustment vendor and how to evaluate their ability to provide that.
Thursday, June 23, 2022
General Session
Back to top
9:00 AM - 10:15 AM, MDT
| 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM, CRC
GS2: Social Determinants of Health
Jacob Swartzwelder, CPC, CRC, CEMC, Approved-Instructor
Attendees will walk through the basics of Social Determinates of Health, how they impact healthcare and revenue cycle, and how to implement meaningful change in documentation and coding practices. Attendees will leave with an understanding of Social Determinates of Health and a roadmap to maximize documentation and Social Determinates of Health reporting.
General
Back to top
10:15 AM - 10:30 AM, MDT
EH5: Break
Breakout Session 5
Back to top
10:30 AM - 11:45 AM, MDT
| 1.25 CEUs COC, CPC, CPC-P, CDEI, CDEO, CEMC, CPB, CPPM, CRC
Track - 5A: Risk Adjustment for Beginners
Sherrie Lynne Thevel, CPC, CPPM, CRC, CPC-I
This session will provide an overview of what risk adjustment (RA) is, as well as a deep dive into the background of RA, types of models, how physician documentation is crucial, common diagnoses left off the table, and common diseases that risk adjust.
10:30 AM - 11:45 AM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPPM, CRC
Track - 5B: Difference Between Models ACA, CMS, and Medicaid - Panel
Kristen Viviano, CPC, CRC, Approved-Instructor; Kelly A Shew, RHIA, CPC, CPCO, CDEO, CPB, CPMA, CPPM, CRC, Approved-Instructor
Did you know there’s more than just one Risk Adjustment model used by insurance companies? Or are you confused about the differences between them? Join us as we review the variables between each model and when each one is used. Bring your RA model questions for the panel to answer!
General Session
Back to top
11:45 AM - 12:45 PM, MDT
| 1.00 CEUs COC, CPC, CPC-P, CPB, CPPM
GS3: Networking Lunch
Join us for Networking Lunch while we give out some great prizes!
Breakout Session 6
Back to top
12:45 PM - 2:00 PM, MDT
| 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM
Track - 6A: Career Opportunities - Panel
Jennifer Hill, CPC, CIC, CPMA, CRC; Kelly A Shew, RHIA, CPC, CPCO, CDEO, CPB, CPMA, CPPM, CRC, Approved-Instructor; Colleen Gianatasio, CPC, CPCO, CPC-P, CPMA, CRC, CPC-I
In this session, speakers will do a live Q&A with the audience on career pathways and job opportunities for risk adjustment.
12:45 PM - 2:00 PM, MDT
| 1.25 CEUs COC, CPC, CPC-P, CIC, CPB, CPPM, CRC
Track - 6B: RA Score Computations - How it Gets from Demographic to Individual Risk Score PANEL
Christine Hall, CPC, CPB, CPMA, CRC, CPC-I; Melissa Kirshner, MPH, AAPC Fellow, CPC, CDEO, CPMA, CRC, CPC-I, CFPC
In this session we will walk through the CMS HCC model components to show how a risk score is built. In addition, we will explore the impact of when the complete patient story is not stated.
Here are some bullet points of what will be covered:
- Introduction to Value-Based Care
- Review the components of the CMS Model
- Overview of the business of Medicine
General
Back to top
2:00 PM - 2:30 PM, MDT
EH6: Break
Breakout Session 7
Back to top
2:30 PM - 3:45 PM, MDT
| 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM, CRC
Track - 7A: Technology Solutions for Risk Adjustment (AI, NLP) - Why Coders Will Always Be Important - Panel
Kelly A Shew, RHIA, CPC, CPCO, CDEO, CPB, CPMA, CPPM, CRC, Approved-Instructor; Jacob Swartzwelder, CPC, CRC, CEMC, Approved-Instructor
In this session, speakers will do a live Q&A with the audience on coder roles and their impact on the use of technology solutions for risk adjustment.
2:30 PM - 3:45 PM, MDT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CEMC, CPB, CPCO, CPPM, CRC
Track - 7B: Compliant Provider Queries
Colleen Gianatasio, CPC, CPCO, CPC-P, CPMA, CRC, CPC-I
Queries are communication tools used to clarify documentation in a medical record. With the increase of queries in the outpatient setting it is crucial to understand the guidelines for a compliant query. This interactive session will help you understand the guidance and participants will have the opportunity to review samples of compliant and non compliant queries.