Locations: Virtual (online)
Presentation Length: 4 Hours
Author: Brian Boyce
Sections to be covered:
What is Risk Adjustment? How Health Insurance Works and Population Health Management
This webinar will enable students to understand why risk adjustment is used and how it was deployed in various healthcare settings. Topics that are covered are the understanding of population health management, different types of insurance coverages, how finances flow through the healthcare system, introductory information on the commercial marketplace Affordable Care Act or Obamacare product, and general tenants of risk adjustment for each of the different models that are most widely used to include: Medicare HCC, Health and Human Services HCC, and Medicaid CDPS risk adjustment models.
Basics of Risk Adjustment
- Basic Coding Guidelines
This webinar will cover the basics of risk adjustment programs to include their shared and differing rules and how diagnosis codes are linked to HCC values or CDPS values. We will cover coding guidelines, some of the guidelines from the Coding Clinic® of the American Hospital Association, as well as CMS and HHS guidance. Information about similarities and differences of risk adjustment models will also be covered. We will also cover the differences between risk adjustment from traditional fee-for-service coding methodologies.
Documentation Challenges in Risk Adjustment
- Frequent Problems
- How to Navigate
This webinar will cover common challenges in clinical documentation and how these relate to coding for risk adjustment purposes. Topics will include important language variations and their impact on diagnosis code selection as well as the necessity for provider querying when necessary and when possible depending upon the reviewers workplace situation. Tips will be offered to assist with provider education on clinical documentation improvement.
This webinar will take a series of practical examples parsed from actual clinical documents that have been desensitized to help illustrate basic core understandings of what may or may not be coded and what the reasoning behind those rules are when coding in risk adjustment settings.
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||$149.95 (Non Members: $189.95)
*On demand and virtual workshops are for single person use only and may not be rebroadcast,
retransmitted, shared or disseminated. A computer with a high speed Internet connection
and speakers (or headphones) is recommended to connect to the event.