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2017 Alliance Coding Work Group: SelectHealth case studies

Event Date: 1/18/2017

Event Overview

Webinar event: 1PM CT - 2:30PM CT

Session description: 

 

This call is one in a series designed for the Alliance coding work group.  These calls showcase one health plan at a time, whose team is responsible for sharing multiple case studies with the other group members for discussion.

  • The case study charts will be shared at least two weeks in advance of the call, and made available on the coding work group's collaboration site.
  • Participants will review the charts in advance and bring documentation regarding how they would code and why. 
  • The discussion will be moderated by SelectHealth's named facilitator, who will summarize input and ultimately phrase the best practice identified.
  • The goal of each call is to arrive at a resolution for each “problem chart,” and document that resolution for the benefit of all Alliance members, with referenced literature/materials substantiating the decision. 
  • Alliance staff will assist in preparing the final documentation from each call, and the facilitator will review for accuracy prior to posting to the member website.

Any remaining time during the call will be available for open discussion, which could be used to:

  • Review the most recent online conversations between coders on the Alliance website.
  • Best practices could be called out and highlighted, with additional clarification and discussion as needed.
  • Potential inaccuracies could be explored and follow up assigned to members of the group for the next call, if needed. 
  • Proven inaccuracies could be flagged for removal from the site, as needed.

 

This event is designed for:

Certified coders and managers with responsibility for the oversight of coders, as well as plan staff with responsibility for physician training around accurate and specific documentation related to coding.


This event is hosted on our Readytalk platform.


AAPC and AHIMA CEUs:

This event has been approved by the AAPC for 1.5 CEUs.  

The program has been approved for 1 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.  

Only attendees to the live webinar event may earn these CEUs.  The certificates will be sent to each attendee directly after they log into the event using the Individual Access Link provided by the Readytalk platform.

 

Other events you might find of interest:

For a list of upcoming Coding Work Group sessions and other coding events, visit the Coding Work Group portal.

Documents
1/24/2017

Recording: Alliance coding work group - SelectHealth case studies
This call is one in a series designed for the Alliance coding work group. These calls showcase one health plan at a time, whose team is responsible for sharing multiple coding case studies with the other group members for discussion.

1/5/2017

SelectHealth Coding Workgroup case studies Jan 18, 2017
This collection of case studies from SelectHealth are for the Jan 18 2017 Alliance coding workgroup session.

Attendees

Below is a list of all delegates registered to date for this event

  • Julie Bartels
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Anelladee de Leon
  • ALLIANCE MEMBER
  • System Configuration Analyst CPC at Presbyterian Health Plan
  • Jessica Dupont
  • ALLIANCE MEMBER
  • Vice President of Government Programs at Alliant Health Plans
  • Christi Isaac
  • ALLIANCE MEMBER
  • Code Review Program Manager at Health Alliance Medical Plans
  • Amy Jack
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Manager at SelectHealth
  • Karen Jensen
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment and SIU at Quartz Health Solutions
  • Morgan Johnson
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at SelectHealth
  • Erin Kavanagh
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Samaritan Health Plans
  • Evelyn Kim
  • ALLIANCE MEMBER
  • SIU Manager at Community First Health Plans
  • Sarah Larence
  • ALLIANCE MEMBER
  • Benefit Configuration Sr. Analyst at Presbyterian Health Plan
  • Anji Lefler
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at SelectHealth
  • Stephne Morgan
  • ALLIANCE MEMBER
  • Risk Adjustment Program Manager at Health New England
  • Kari Pace
  • ALLIANCE MEMBER
  • Clinical Documentation Improvement Nurse-Risk Adjustment/Quality Management at Medical Associates Health Plans
  • Jessica Phillips
  • ALLIANCE MEMBER
  • Quality Improvement Specialist at Health New England
  • Teresa Powers
  • ALLIANCE MEMBER
  • SIU Analyst - Special Investigations Coordinator at Samaritan Health Plans
  • Kylie Rasmussen
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at SelectHealth
  • Tamura Redfearn
  • ALLIANCE MEMBER
  • Manager, Health Plan Benefit Administration and System Configura at Presbyterian Health Plan
  • Noreen Rhoades
  • ALLIANCE MEMBER
  • Program Integrity Manager at Community Health Plan of Washington
  • Patricia Rivera
  • ALLIANCE MEMBER
  • System Configuration Analyst - CPC at Presbyterian Health Plan
  • SHARON ROBERSON
  • ALLIANCE MEMBER
  • Sr. PREPAYMENT AUDITOR at Providence Health Plan
  • Kristy Russell
  • ALLIANCE MEMBER
  • HCC Coding Analyst Supervisor at SelectHealth
  • Betsy Thompson
  • ALLIANCE MEMBER
  • Senior Configuration Analyst - CPC at Presbyterian Health Plan
  • Jenny Vu
  • ALLIANCE MEMBER
  • UM Manager at Valley Health Plan
  • Kimberly Watkins
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor Supervisor at Intermountain Healthcare
Speakers