Documentation and Coding: Best Practices for Chronic Conditions (Earn 1 CEU)

Event Date: 1/14/2021

Event Overview

Thursday, 1/14/2021
1:00 PM CT – 2:00 PM CT (60 minutes)
Hosted by: Gorman Health Group and Pareto

CMS has instructed that only ‘active’ conditions should be reported via claim for risk adjustment. Learn what documentation elements are required to substantiate a chronic diagnosis through a Risk Adjustment Data Validation audit.

Audience

Individuals with responsibility for risk adjustment and risk adjustment coders.

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Documents

1/26/2021

Recording: Documentation and Coding: Best Practices for Chronic Conditions
CMS has instructed that only ‘active’ conditions should be reported via a claim for risk adjustment. As part of the Risk Adjustment & Quality Learning Collaborative, Pat Petty with Gorman Health Group discusses what documentation elements are required to substantiate a chronic diagnosis through a Risk Adjustment Data Validation audit.

1/26/2021

Presentation: Documentation and Coding: Best Practices for Chronic Conditions
CMS has instructed that only active conditions should be reported via a claim for risk adjustment. As part of the Risk Adjustment & Quality Learning Collaborative, Pat Petty with Gorman Health Group discusses what documentation elements are required to substantiate a chronic diagnosis through a Risk Adjustment Data Validation audit.

Attendees

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

Matthew Kruszewski
ALLIANCE GUEST
Manager, RAR at Jefferson Health Plans

Pinta Robbins
ALLIANCE GUEST
Manager Operations at New Hanover Health

Carrie Abenante
ALLIANCE MEMBER
Manager, Special Investigations Unit at Sentara Health Plans (Optima)

Faith Achenbach
ALLIANCE MEMBER
Physician Compliance Auditor II at Baylor Scott & White Health

Lisa Alexander
ALLIANCE MEMBER
Point of Service Coding Analyst at Health Alliance Medical Plans

Robyn Anderson
ALLIANCE MEMBER
Delegation Oversight Auditor at Health Alliance Plan (HAP)

Lori Asmus
ALLIANCE MEMBER
Director, Risk Adjustment at Network Health

Amy Atkins
ALLIANCE MEMBER
Medical Records Specialist II at Community Health Plan of Washington

Carolyn Baca
ALLIANCE MEMBER
Risk Adjustment Reviewers at Presbyterian Healthcare Services

Pamela Banker
ALLIANCE MEMBER
Risk Adjustment Auditor at Network Health

Julie Bartels
ALLIANCE MEMBER
Risk Adjustment Analyst at Quartz Health Solutions

Zoe Benfield
ALLIANCE MEMBER
Director of UM & Risk Adjustment Solutions at Health Alliance Medical Plans

Veronica Bickford CPC, CRC
ALLIANCE MEMBER
Risk Adjustment Code Reviewer at Presbyterian Health Plan

Sibyl Boyd
ALLIANCE MEMBER
Medical Department Coordinator/Certified Risk Adjustment Coder at Cox HealthPlans

Misty Boyd
ALLIANCE MEMBER
Consultant - Compliance at IU Health Plans

Angela Bruck
ALLIANCE MEMBER
Outpatient Clinic CDI at Henry Ford Health System

Sarah Burke
ALLIANCE MEMBER
Lead Quality Auditor at Health First Health Plans

Kristin Calkins
ALLIANCE MEMBER
SIU Investigator at Quartz Health Solutions

Michele Carey
ALLIANCE MEMBER
RARM at Health Alliance Medical Plans

Kelly Chan
ALLIANCE MEMBER
Supervisor, Risk Adjustment Coding at Presbyterian Health Plan

Kevin Chi
ALLIANCE MEMBER
Assistant Compliance Counsel at Central Health Plan of California

Jackie Chu Shing
ALLIANCE MEMBER
Risk Adustment Coding Auditor at SelectHealth

Wynda Clayton
ALLIANCE MEMBER
Risk Adjustment Manager at Providence Health Plan

Alisa Cocozza
ALLIANCE MEMBER
Vice President of Product at MetroPlusHealth

Deb Curry
ALLIANCE MEMBER
Director Risk Adjustment & Recoveries at Paramount Health Care

Esther D'Arezzo
ALLIANCE MEMBER
RN, Clinical Supervisor Risk Adjustment at Neighborhood Health Plan of Rhode Island

Kaitlyn Daigle
ALLIANCE MEMBER
Medical Auditor at Health New England

Nicole Davis
ALLIANCE MEMBER
Risk Adjustment Coder at Baylor Scott & White Health Plan

Colleen Degenhardt
ALLIANCE MEMBER
Risk Adjustment Analyst at Quartz Health Solutions

Crystal Djordjevic
ALLIANCE MEMBER
Risk Adjustment Education Specialist at Health Alliance Medical Plans

Diana Dlubala
ALLIANCE MEMBER
CPC/CRC at Sentara Health Plans (Optima)

Rudy Dominguez
ALLIANCE MEMBER
Population Health Managment Process Specialist at Community Health Plan of Washington

Michelle Dunning
ALLIANCE MEMBER
Configuration Coordinator at Presbyterian Health Plan

Mery Escoto
ALLIANCE MEMBER
Risk adjustment coding specialist at Neighborhood Health Plan of Rhode Island

Doris Ewing
ALLIANCE MEMBER
Coding Analyst at Health Alliance Medical Plans

Kristine Forrest
ALLIANCE MEMBER
Health Risk Coding and Education Specialist II at Health Alliance Plan (HAP)

Lisa Garrett
ALLIANCE MEMBER
Risk Adjustment Manager at Sentara Health Plans (Optima)

Amanda Gingrich
ALLIANCE MEMBER
Coder III at Geisinger Health Plan

Colleen Haller
ALLIANCE MEMBER
Director of Quality at Community Health Plan of Washington

Krystal Hanes
ALLIANCE MEMBER
Coding & Compliance Specialist at Mount Carmel Health System

Amber Harris
ALLIANCE MEMBER
Director Risk Adjustment at MediGold

Brooke Haycraft
ALLIANCE MEMBER
SIU Analyst at Quartz Health Solutions

Matthew Hesser
ALLIANCE MEMBER
Analyst at Geisinger Health Plan

Rhonda Holt
ALLIANCE MEMBER
Project Specialist at CommunityCare

Jenny Hudson
ALLIANCE MEMBER
OP CDI SPECIALIST at Henry Ford Health System

Karen Jensen
ALLIANCE MEMBER
Manager, Risk Adjustment and SIU at Quartz Health Solutions

Rita Johnson
ALLIANCE MEMBER
Coding Compliance Specialist / Educator at Presbyterian Health Plan

Alyssa Joy
ALLIANCE MEMBER
Quality Audit Analyst at Physicians Health Plan

Erin Kalagher
ALLIANCE MEMBER
Risk Adjustment Coding Specialist at Health New England

Patricia Karam
ALLIANCE MEMBER
Risk Adjustment Specialist at Community Health Plan of Washington

Erin Kavanagh
ALLIANCE MEMBER
Risk Adjustment Analyst at Samaritan Health Plans

Vicki Kazmierczak
ALLIANCE MEMBER
Outpatient CDI Specialist at Henry Ford Health System

Kaesie Kettinger
ALLIANCE MEMBER
Senior Risk Adjustment Auditor at Paramount Health Care

Kaitlin Knapik
ALLIANCE MEMBER
Program Manager, Risk Adjustment at Mount Carmel Health System

Kathy Koontz
ALLIANCE MEMBER
Quality CHA Auditor at Health First Health Plans

Tina Korty
ALLIANCE MEMBER
Vice President, Health Plans Legal, Compliance & Regulatory at IU Health Plans

Cassie Lane
ALLIANCE MEMBER
Associate-Senior Claims Coding at IU Health Plans

Brianne Leverenz
ALLIANCE MEMBER
Risk Adjustment Manager at Health Alliance Medical Plans

Melanie Lewis
ALLIANCE MEMBER
Risk Adjustment Coder at Henry Ford Health System

Tammy Little
ALLIANCE MEMBER
Risk Adjustment Team Coordinator at Sentara Health Plans (Optima)

Rhonda Long
ALLIANCE MEMBER
Coding Analyst at Health Alliance Medical Plans

Jeanne Lui
ALLIANCE MEMBER
Risk Adjustment Coordinator at CCHP

Kathy Mantell
ALLIANCE MEMBER
Provider Configuration Specialist at SummaCare

Glenda McClung
ALLIANCE MEMBER
Risk Adjustment Coding Auditor 2 at Paramount Health Care

Sandra McCormack
ALLIANCE MEMBER
Risk Adjustment Coding Specialist at Mount Carmel Health System

Lorinda McKinster
ALLIANCE MEMBER
Physician Coding Specialist II at Mount Carmel Health System

Maria Menendez
ALLIANCE MEMBER
RN/CPC/CRC/clinical reviewer at AvMed

Tina Millard
ALLIANCE MEMBER
Risk adjustment Coding specialist at Network Health

Wendy Miller
ALLIANCE MEMBER
Sr. RA Coding Specialist at Network Health

Meghan Miller
ALLIANCE MEMBER
Risk adjustment auditor at Baylor Scott & White Health Plan

Tammy Miller
ALLIANCE MEMBER
Business Analyst at Baylor Scott & White Health Plan

Stephne Morgan
ALLIANCE MEMBER
Risk Adjustment Program Manager at Health New England

Le'Audry Moultree
ALLIANCE MEMBER
Outpatient CDI Specialist at Henry Ford Health System

Deana Myers-Voyk
ALLIANCE MEMBER
Coding Auditor at SummaCare

Donna Norero
ALLIANCE MEMBER
Clinical Coding Reviewer at Presbyterian Health Plan

Uloma Nwaka
ALLIANCE MEMBER
Clinical Transformation Consultant at Johns Hopkins Health Plans

Jaylene Olson
ALLIANCE MEMBER
Senior Risk Adjustment Analyst at Health Alliance Medical Plans

MELISSA Orgitano
ALLIANCE MEMBER
CODER 3 at Geisinger Health Plan

Michelle Osborne
ALLIANCE MEMBER
Outpatient Clinical Documentation Specialist at Henry Ford Health System

Wendy Owen
ALLIANCE MEMBER
Sr. Fraud & Abuse Investigator at Sentara Health Plans (Optima)

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

Sonia Pi Fane
ALLIANCE MEMBER
RN at AvMed

Lisa Potter
ALLIANCE MEMBER
Risk Adjustment coder/ Educator/MA Abstract Analyst II at Health Alliance Plan (HAP)

Julie Powell
ALLIANCE MEMBER
Investigator at Sentara Health Plans (Optima)

Viktoriya Rebrik
ALLIANCE MEMBER
Sr. Claims Reimbursement and Coding Specialist at Community Health Plan of Washington

Monday Reynolds
ALLIANCE MEMBER
CRC at Santa Clara Family Health Plan

Jill Reynolds
ALLIANCE MEMBER
Risk Adjustment Quality Auditor at Providence Health Plan

Noreen Rhoades
ALLIANCE MEMBER
Program Integrity Manager at Community Health Plan of Washington

Robynn Roy
ALLIANCE MEMBER
Quality and Risk Adjustment Specialist at Avera Health Plans

Melissa Rusk
ALLIANCE MEMBER
Vice President Operations at SummaCare

Kristy Russell
ALLIANCE MEMBER
HCC Coding Analyst Supervisor at SelectHealth

Ivis Salgado
ALLIANCE MEMBER
RN,CPMA,CDEO,CRC,Clinical Reviewer at AvMed

Colleen Schepp
ALLIANCE MEMBER
Risk Adjustment Auditor at Network Health

Michelle Sedillo
ALLIANCE MEMBER
Risk Adjustment Coder/Reviewer at Presbyterian Health Plan

Dan Shea
ALLIANCE MEMBER
Risk Adjustment Program & Coding Supervisor at Neighborhood Health Plan of Rhode Island

Stefanie Shelton
ALLIANCE MEMBER
Sr. Claims and Reimbursement Specialist at Community Health Plan of Washington

Julie Sich
ALLIANCE MEMBER
Director, Quality and Clinical Improvement at SummaCare

Barb Smith
ALLIANCE MEMBER
Clinical Review Coder - Avera Health at Avera Health Plans

Pamela Smith
ALLIANCE MEMBER
Risk Adjustment Analyst at CommunityCare

Elisabeth St.Laurent
ALLIANCE MEMBER
LPN, CPC, CRC, CPMA_ Team Coordinator Risk Adjustment Coding and Compliance Coding and Compliance at Sentara Health Plans (Optima)