Date: January 27, 2022
Start time: 7:30 AM PT / 8:30 AM MT / 9:30 AM CT/ 10:30 AM ET
Location: Virtual (online)
On Demand Availability: January 28, 2022
Presenter: Sheri Poe Bernard, COC, CPC, CDEO, CRC, CPC-I
Date: Goes live September 29, 2020 - Available from then on demand (Select an option below).
Start time: 7:30am PT / 8:30am MT / 9:30am CT / 10:30am ET
Presentation Length: 4 Hours
Author: Raemarie Jimenez, CPC, CIC, CPB, CPMA, CPPM, CPC-I, CCS
Take a deep dive into Risk Adjustment with the help and guidance of 4 experts with more than 80 years of combined experience in the business of healthcare. Join presenters Sheri Poe Bernard, Colleen Gianatasio, Donna Malone, Khushwinder Singh in a discussion of topics ranging from the what the focus of risk adjustment regulators is these days to best practices on how to avoid becoming an accomplice in HCC fraud and abuse:
This workshop will consist of 4 sections where the following topics will be discussed:
- Risk Adjustment in the News presented by Sheri Poe Bernard
What's the focus of risk adjustment regulators these days? We can perhaps find answers in the numerous legal actions that the federal government has recently filed against Medicare Advantage plans. Sheri has culled through these multi-billion dollar actions and will describe top compliance issues identified by the OIG and DOJ, and the panel will discuss how these developments should shape our own compliance in 2022.
- Practical Use of Models presented by Donna Malone
Providers have been well educated regarding documentation required to support “what” they did for the patient to capture proper evaluation and management levels, however not much attention has been given over the years to address capturing the true complexity of the patient’s health status. All value-based care models rely on documentation from the patient’s providers stating the specific diagnoses being managed or impacting medical decision-making.
Donna will walk you through a process that is condition focused to assist the provider at the point of care to get credit for the intensity of the patient they are providing at the point of care.
- Intersection of Quality & Risk presented by Colleen Gianatasio
This segment will cover the overlap between risk adjustment and quality. By looking for overlap in risk adjustment and quality measures plans will be able to break down silos within their organization, create efficiencies and help to improve patient outcomes.
- Clinical Validation & Other Risks presented by Khushwinder Singh
Financial incentives tied to HCCs are muddying the waters and damaging clinical integrity in medicine today. Learn about the risks of failing a clinical validation audit when your provider's medical record includes risk-adjusting diagnoses without evidence of diagnostic work-ups, treatments, and/or plans of care associated with those diagnoses. Clinical decision making is not based on diagnosis code—but rather diagnosis codes are based on clinical decision making. There is pressure on clinicians today to recapture previously coded HCCs by other providers, and/or report new HCC capture. Providers may become unwitting accomplices to HCC fraud or abuse when using pre-chosen HCC-linked codes to describe clinical diagnoses.
How much pressure is your organization exerting on providers to capture HCCs? Learn about the risks of these practices and others from a physician who is also a certified risk adjustment coder and documentation integrity specialist.
Register Today! Select Live or On-Demand Below:
|January 27, 2022
||$149.95 (Non Members: $189.95)
|January 28, 2022
||$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.