Medicare Part D Risk Scoring: Best Practices and Processes
Event Date: 3/30/2021
Event Overview
Tuesday, 3/30/2021
1:00 PM CT – 2:00 PM CT (60 minutes)
Hosted by: Aspire Health Plan
Join in the conversation about Part D coding practices and approaches for identifying opportunities to improve. In response to Alliance member health plan interest generated in the discussion forum, this call enables conversation about best practices for Part D risk scoring and gap closure. Plans share their current processes, opportunities they have identified to improve RxHCC coding, and vendors that help them get there. Additionally, in a roundtable fashion, plans will have an opportunity to ask their peers questions and share their current challenges. Attendees will learn about new methods and solutions to enable more accurate RxHCC coding and identifying opportunities to improve.
Covered in this session will be:
- Identifying care gaps to close
- Intervention strategies
- Vendor support
- Financial impacts
Click to reference the discussion forum thread for details.
Audience
This call is specially designed for those responsible for coding strategies and processes, accuracy and identifying ways to improve.
Ask your peers a question or share a resource anytime through the Alliance discussion forum
You can visit the discussion forum and post a question anytime. It's only available to Alliance members, so your question is private and secure. When submitting a question, you can select which topics your question is related to. Individuals who have indicated in their Alliance profile they are interested in those topics and are opted in to discussion forum emails will receive your question. You can also add an attachment to your question or reply, making this tool another great resource for sharing best practices with your peers.
Start a discussion
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Documents
Presentation: Medicare Part D Risk Scoring - Best Practices and Processes
In response to Alliance member health plan interest, Alliance health plans share their current RxHCC coding process, improvement efforts, and vendors that help them get there. Alison B. Dunton, Director, Practice Enhancement and Analytics at Aspire Health Plan, hosts this roundtable discussion.
Recording: Medicare Part D Risk Scoring: Best Practices and Processes
In response to Alliance member health plan interest, Alliance health plans share their current RxHCC coding process, improvement efforts, and vendors that help them get there. Alison B. Dunton, Director, Practice Enhancement and Analytics at Aspire Health Plan, hosts this roundtable discussion.
Attendees
Below is a list of all delegates registered to date for this event
- Rick Alexsonshk
- ALLIANCE MEMBER
- Director ACA Risk Adjustment at SummaCare
- Lori Asmus
- ALLIANCE MEMBER
- Director, Risk Adjustment 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
- Terri Bowers
- ALLIANCE MEMBER
- HCC Risk Adjustment Analyst at Providence Health Plan
- Misty Boyd
- ALLIANCE MEMBER
- Consultant - Compliance at IU Health Plans
- Sibyl Boyd
- ALLIANCE MEMBER
- Medical Department Coordinator/Certified Risk Adjustment Coder at Cox HealthPlans
- Eric Cannon
- ALLIANCE MEMBER
- Chief Pharmacy Benefits Officer at SelectHealth
- Kayleigh Cavano
- ALLIANCE MEMBER
- Risk Adjustment Coding Auditor at MediGold
- Colleen Degenhardt
- ALLIANCE MEMBER
- Risk Adjustment Analyst at Quartz Health Solutions
- Jena Deschler
- ALLIANCE MEMBER
- Managed Care Pharmacist at Health Alliance Medical Plans
- Rudy Dominguez
- ALLIANCE MEMBER
- Population Health Managment Process Specialist at Community Health Plan of Washington
- Rory Donohue
- ALLIANCE MEMBER
- Vice President Actuary at Network Health
- Art Edgerton
- ALLIANCE MEMBER
- Medical Director at FirstCarolinaCare Insurance Company
- Lindsay Erickson
- ALLIANCE MEMBER
- Director, Quality Analysis & Risk Adjustment at Community Health Plan of Washington
- Jeremy Fejfar
- ALLIANCE MEMBER
- Pharmacy Director Government Programs at Quartz Health Solutions
- Amber Harris
- ALLIANCE MEMBER
- Director Risk Adjustment at MediGold
- Christi Isaac
- ALLIANCE MEMBER
- Code Review Program Manager at Health Alliance Medical Plans
- Karen Jensen
- ALLIANCE MEMBER
- Manager, Risk Adjustment and SIU at Quartz Health Solutions
- 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
- Matthew Kruszewski
- ALLIANCE MEMBER
- Manager, RAR at Jefferson Health Plans
- Ed Lee
- ALLIANCE MEMBER
- Product Leader, Health Plans Medicare Advantage at IU Health Plans
- Brianne Leverenz
- ALLIANCE MEMBER
- Risk Adjustment Manager at Health Alliance Medical Plans
- Elizabeth Lewallen
- ALLIANCE MEMBER
- Medicare Compliance Analyst at Western Health Advantage
- Cathy Nagy
- ALLIANCE MEMBER
- Manager, Risk Adjustment Coding and Education at Health Alliance Plan (HAP)
- Daniel O'Connell
- ALLIANCE MEMBER
- Vice President of Health Services at Cox HealthPlans
- Wade Penner
- ALLIANCE MEMBER
- Manager Revenue-Risk at Samaritan Health Plans
- Jana Pennington
- ALLIANCE MEMBER
- Risk Adjustment Analytics Manager-Coding at Saint Luke's Health System
- Ariana Ricci
- ALLIANCE MEMBER
- Risk Adjustment Analytics Lead at Neighborhood Health Plan of Rhode Island
- Mark Richardson
- ALLIANCE MEMBER
- Director, Medicare Program and Products at SelectHealth
- Britany Ritz
- ALLIANCE MEMBER
- Actuarial Analyst at Geisinger Health Plan
- Susan Sirek
- ALLIANCE MEMBER
- Sr. Business Data Analyst at Sharp Health Plan
- Mike Sloan
- ALLIANCE MEMBER
- Manager, Risk Adjustment Submissions & Analytics at MediGold
- Krystal Stevenson
- ALLIANCE MEMBER
- Manager- Risk Adjustment Programs & Operations at Health Alliance Plan (HAP)
- Kris Trafton
- ALLIANCE MEMBER
- Director, Risk Adjustment at Geisinger Health Plan
- Desiree Walke
- ALLIANCE MEMBER
- Risk Adjustment Compliance Analyst at Quartz Health Solutions
- Nancy Weber
- ALLIANCE MEMBER
- Clinical Integration Program Manager at Network Health
- Joan Wilberg
- ALLIANCE MEMBER
- Manager, Healthcare Economics at IU Health Plans
- Sam Wu
- ALLIANCE MEMBER
- Manager, Actuarial Services at Health Alliance Medical Plans
- Holly Zorz
- ALLIANCE MEMBER
- Quality Improvement Team Lead, Medicare at Paramount Health Care
Speakers
- Alison Dunton
Director of Practice Enhancement & Analytics at Aspire Health Plan
click here for full people profile
- Davetta Hammond
Coding Consultant at Aspire Health Plan
click here for full people profile