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Navigating Risk-Adjustable Chronic Conditions: The Ultimate Course for the PCP (Earn 1 CEU)

Event Date: 1/21/2021

Event Overview

Thursday, 1/21/2021
1:00 PM CT – 2:00 PM CT (60 minutes)
Hosted by: Pulse8

The topic for this session hasn’t been set yet. Check back for more details soon. All of the sessions in this series will:

  • Assist coders in making appropriate decisions when it comes to coding particularly challenging documentation
  • Identify best practices for accurate documentation and appropriately noting diagnostic codes supported by that documentation; cross walking diagnostic codes to HCCs
  • Review new diagnostic codes or new HCC model updates
  • Discuss documentation that was accepted or NOT accepted by CMS
  • Develop a knowledge library that benefits all Alliance member health plans looking for coding resources and support

Audience

Individuals with responsibility for risk adjustment and risk adjustment coders.


 

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Documents
1/26/2021

Recording: Navigating Risk-Adjustable Chronic Conditions: The Ultimate Course for the PCP
This session is one in a series focused on delivering educational risk adjustment coding content. The topic of this session hasn’t been set yet, but will focus on assisting coders in making appropriate decisions when it comes to coding particularly challenging documentation, provide updates on new diagnostic codes and HCC model updates, or discuss documentation that was accepted or not accepted by CMS.

1/26/2021

Presentation: Navigating Risk-Adjustable Chronic Conditions: The Ultimate Course for the PCP
This session is one in a series focused on delivering educational risk adjustment coding content. The topic of this session hasn�t been set yet, but will focus on assisting coders in making appropriate decisions when it comes to coding particularly challenging documentation, provide updates on new diagnostic codes and HCC model updates, or discuss documentation that was accepted or not accepted by CMS.

1/26/2021

Acceptable Physician Specialty Types for 2020 PY
CMS provides a comprehensive list of specialists that are approved for risk adjustment for 2020.

Attendees

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

  • Pinta Robbins
  • ALLIANCE GUEST
  • Manager Operations at New Hanover Health
  • 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)
  • 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
  • Olga Belik
  • ALLIANCE MEMBER
  • Clinical Reviewer, Risk Adjustment at Neighborhood Health Plan of Rhode Island
  • Sibyl Boyd
  • ALLIANCE MEMBER
  • Medical Department Coordinator/Certified Risk Adjustment Coder at Cox HealthPlans
  • Misty Boyd
  • ALLIANCE MEMBER
  • Consultant - Compliance at IU Health Plans
  • Danielle Brinkley
  • ALLIANCE MEMBER
  • Director, Population Analytics at Community Health Plan of Washington
  • Angela Bruck
  • ALLIANCE MEMBER
  • Outpatient Clinic CDI at Henry Ford Health System
  • Kristin Calkins
  • ALLIANCE MEMBER
  • SIU Investigator at Quartz Health Solutions
  • Michele Carey
  • ALLIANCE MEMBER
  • RARM at Health Alliance Medical Plans
  • Stefanie Carroll
  • ALLIANCE MEMBER
  • Sr. Claims and Reimbursement Specialist at Community Health Plan of Washington
  • Charniece Carter
  • ALLIANCE MEMBER
  • Risk Adjustment Operations Supervisor at Health First Health 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
  • 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
  • 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)
  • Krystal Hanes
  • ALLIANCE MEMBER
  • Coding & Compliance Specialist at Mount Carmel Health System
  • Lori Harris
  • ALLIANCE MEMBER
  • Lead Health Risk Coding & Education Specialist at Health Alliance Plan (HAP)
  • Amber Harris
  • ALLIANCE MEMBER
  • Director Risk Adjustment at MediGold
  • Rhonda Holt
  • ALLIANCE MEMBER
  • Project Specialist at CommunityCare
  • John Huang
  • ALLIANCE MEMBER
  • Compliance at Central Health Plan of California
  • Jenny Hudson
  • ALLIANCE MEMBER
  • OP CDI SPECIALIST at Henry Ford Health System
  • 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
  • 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
  • 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)
  • Shuang Liu
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Community Health Plan of Washington
  • 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
  • Stephne Morgan
  • ALLIANCE MEMBER
  • Risk Adjustment Program Manager at Health New England
  • Stephen Muldoon
  • ALLIANCE MEMBER
  • Manager, Actuary at Sentara Health Plans (Optima)
  • Donna Norero
  • ALLIANCE MEMBER
  • Clinical Coding Reviewer at Presbyterian Health Plan
  • Jaylene Olson
  • ALLIANCE MEMBER
  • Senior Risk Adjustment Analyst at Health Alliance Medical Plans
  • 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
  • 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)
  • Alix Putnam
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor Supervisor at SelectHealth
  • Viktoriya Rebrik
  • ALLIANCE MEMBER
  • Sr. Claims Reimbursement and Coding Specialist at Community Health Plan of Washington
  • Jill Reynolds
  • ALLIANCE MEMBER
  • Risk Adjustment Quality Auditor at Providence Health Plan
  • 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
  • Rochelle Smith
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor I at SelectHealth
  • 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)
  • Laurie Tucker
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Mount Carmel Health System
  • Diana Vasquez
  • ALLIANCE MEMBER
  • Senior Risk Adjustment Coding Specialist at Neighborhood Health Plan of Rhode Island
  • Daniel Vestboe
  • ALLIANCE MEMBER
  • Coding Analyst at Providence Health Plan
  • Michael Vigil
  • ALLIANCE MEMBER
  • Coding Analyst 1 at Providence Health Plan
  • Desiree Walke
  • ALLIANCE MEMBER
  • Risk Adjustment Compliance Analyst at Quartz Health Solutions
  • Kayla Walker
  • ALLIANCE MEMBER
  • Manager of Risk Adjustment at Baylor Scott & White Health Plan
  • Susan Waterman
  • ALLIANCE MEMBER
  • Director, Risk Adjustment at Baylor Scott & White Health Plan
  • Joan Wilberg
  • ALLIANCE MEMBER
  • Manager, Healthcare Economics at IU Health Plans
  • Tanya Williams
  • ALLIANCE MEMBER
  • Coding Consultant at Health Alliance Medical Plans
  • Stephanie Zeiber
  • ALLIANCE MEMBER
  • APP Programs Manager for Value Based Care at Sentara Health Plans (Optima)
  • Leona Zhu
  • ALLIANCE MEMBER
  • Risk Adjustment Coder at CCHP
  • Jenna Zimmerman
  • ALLIANCE MEMBER
  • Coding Program Trainer at Geisinger Health Plan
Speakers