Risk Adjustment Roundtable: Show and Tell - Coding Clinic, RADV Audit and CMS/HHS Feedback
Event Date: 8/12/2021
Event Overview
Thursday, 8/12/2021
1:00 PM CT – 2:00 PM CT (60 minutes)
Join your Alliance peers for a show and tell of the most valuable feedback received from Coding Clinic, RADV Audits and CMS/HHS. Have feedback to share? Email Nicole Fultz your PowerPoint slide(s) with your tip(s) by Friday, July 16, 2021.
Show and tell, and group discussion may include:
- Question, response and additional information received from Coding Clinic
- Package three examples
- Feedback that made you question if you were coding to conservatively
- How far back are you comfortable coding from?
PLATFORM NOTES: The roundtable discussion will be hosted on BigMarker. Please test your computer speed, microphone and camera in advance to ensure the best experience:
BigMarker system check - https://www.bigmarker.com/system_check
Audience
Risk adjustment leaders and those with responsibility for RADV.
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
Baylor Scott & White Health Presentation: Coding Clinic, RADV Audit and CMS/HHS Feedback
Connect with your Alliance risk adjustment peers to discuss your top challenges, share your expertise and build your network.
IU Health Plans Presentation: Show and Tell - Coding Clinic, RADV Audit and CMS/HHS Feedback
Connect with your Alliance risk adjustment peers to discuss your top challenges, share your expertise and build your network.
SelectHealth Presentation: Show and Tell - Coding Clinic, RADV Audit and CMS/HHS Feedback
Connect with your Alliance risk adjustment peers to discuss your top challenges, share your expertise and build your network.
Recording: Show and Tell - Coding Clinic, RADV Audit and CMS/HHS Feedback
Connect with your Alliance risk adjustment peers to discuss your top challenges, share your expertise and build your network.
Attendees
Below is a list of all delegates registered to date for this event
- Deb Abbott
- ALLIANCE MEMBER
- Risk Adjustment and Payment Integrity Coordinator at Network Health
- Robyn Anderson
- ALLIANCE MEMBER
- Delegation Oversight Auditor at Health Alliance Plan (HAP)
- Ashley Andrade
- ALLIANCE MEMBER
- Coder Analyst at Avera Health Plans
- Lori Asmus
- ALLIANCE MEMBER
- Director, Risk Adjustment at Network Health
- Pamela Banker
- ALLIANCE MEMBER
- Risk Adjustment Auditor at Network Health
- Julie Bartels
- ALLIANCE MEMBER
- Risk Adjustment Analyst at Quartz Health Solutions
- Danielle Brinkley
- ALLIANCE MEMBER
- Director, Population Analytics at Community Health Plan of Washington
- Ngoc Bui-Tong
- ALLIANCE MEMBER
- Chief Health Equity and Strategy Officer at Santa Clara Family Health Plan
- Sarah Burke
- ALLIANCE MEMBER
- Lead Quality Auditor at Health First Health Plans
- Kristin Calkins
- ALLIANCE MEMBER
- SIU Investigator at Quartz Health Solutions
- Sandra Caron
- ALLIANCE MEMBER
- Medical Coder at Neighborhood Health Plan of Rhode Island
- Charniece Carter
- ALLIANCE MEMBER
- Risk Adjustment Operations Supervisor at Health First Health Plans
- Ahmad Chaudhary
- ALLIANCE MEMBER
- Director Health Plan Operations at Mary Washington Health Plan
- Wynda Clayton
- ALLIANCE MEMBER
- Risk Adjustment Manager at Providence Health Plan
- Deb Curry
- ALLIANCE MEMBER
- Director Risk Adjustment & Recoveries at Paramount Health Care
- Colleen Degenhardt
- ALLIANCE MEMBER
- Risk Adjustment Analyst at Quartz Health Solutions
- Rudy Dominguez
- ALLIANCE MEMBER
- Population Health Managment Process Specialist at Community Health Plan of Washington
- Alison Dunton
- ALLIANCE MEMBER
- Director of Practice Enhancement & Analytics at Aspire Health Plan
- Mery Escoto
- ALLIANCE MEMBER
- Risk adjustment coding specialist at Neighborhood Health Plan of Rhode Island
- Davetta Hammond
- ALLIANCE MEMBER
- Coding Consultant at Aspire Health Plan
- Amber Harris
- ALLIANCE MEMBER
- Director Risk Adjustment at MediGold
- Karen Jensen
- ALLIANCE MEMBER
- Manager, Risk Adjustment and SIU at Quartz Health Solutions
- 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
- Kaesie Kettinger
- ALLIANCE MEMBER
- Senior Risk Adjustment Auditor at Paramount Health Care
- Kathy Koontz
- ALLIANCE MEMBER
- Quality CHA Auditor at Health First Health Plans
- Matthew Kruszewski
- ALLIANCE MEMBER
- Manager, RAR at Jefferson Health Plans
- Angelo Kurukulasuriya
- ALLIANCE MEMBER
- Actuarial Analyst at Sentara Health Plans (Optima)
- Ed Lee
- ALLIANCE MEMBER
- Product Leader, Health Plans Medicare Advantage at IU Health Plans
- Adam Letherby
- ALLIANCE MEMBER
- Quality CHA Supervisor at Health First Health Plans
- Jeanne Lui
- ALLIANCE MEMBER
- Risk Adjustment Coordinator at CCHP
- Thomas Mayer
- ALLIANCE MEMBER
- HFHP quality cha auditor at Health First Health Plans
- Maria Menendez
- ALLIANCE MEMBER
- RN/CPC/CRC/clinical reviewer at AvMed
- Julie Miller
- ALLIANCE MEMBER
- coding analyst at Health Alliance Medical Plans
- Stephen Muldoon
- ALLIANCE MEMBER
- Manager, Actuary at Sentara Health Plans (Optima)
- Deana Myers-Voyk
- ALLIANCE MEMBER
- Coding Auditor at SummaCare
- Tom Nasadoski
- ALLIANCE MEMBER
- Director, Risk Adjustment and Recovery at Capital District Physicians' Health Plan (CDPHP)
- Kari Pace
- ALLIANCE MEMBER
- Clinical Documentation Improvement Nurse-Risk Adjustment/Quality Management at Medical Associates Health Plans
- 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
- Vijay Rajendran
- ALLIANCE MEMBER
- Senior Data Engineer at Neighborhood Health Plan of Rhode Island
- Dean Ratzlaff
- ALLIANCE MEMBER
- Director, Actuary/Revenue Management at Sentara Health Plans (Optima)
- Monday Reynolds
- ALLIANCE MEMBER
- CRC at Santa Clara Family Health Plan
- Jill Reynolds
- ALLIANCE MEMBER
- Risk Adjustment Quality Auditor at Providence Health Plan
- Ariana Ricci
- ALLIANCE MEMBER
- Risk Adjustment Analytics Lead at Neighborhood Health Plan of Rhode Island
- Robynn Roy
- ALLIANCE MEMBER
- Quality and Risk Adjustment Specialist at Avera Health Plans
- Allison Runyan
- ALLIANCE MEMBER
- Supervisor of Risk Adjustment Operations at Health First Health Plans
- Colleen Schepp
- ALLIANCE MEMBER
- Risk Adjustment Auditor at Network Health
- Michelle Sedillo
- ALLIANCE MEMBER
- Risk Adjustment Coder/Reviewer at Presbyterian Health Plan
- Stefanie Shelton
- ALLIANCE MEMBER
- Sr. Claims and Reimbursement Specialist at Community Health Plan of Washington
- Liz Shubitowski
- ALLIANCE MEMBER
- Health Risk Coding & Education Specialist II at Health Alliance Plan (HAP)
- Barb Smith
- ALLIANCE MEMBER
- Clinical Review Coder - Avera Health at Avera Health Plans
- Kathleen Spaulding
- ALLIANCE MEMBER
- Manager, Risk Adjustment Quality Assurance at Capital District Physicians' Health Plan (CDPHP)
- Elaine Taylor
- ALLIANCE MEMBER
- Compliance Consultant at IU Health Plans
- Emily Vander Heiden
- ALLIANCE MEMBER
- Supervisor, Risk Adjustment at Network Health
- Diana Vasquez
- ALLIANCE MEMBER
- Senior Risk Adjustment Coding Specialist at Neighborhood Health Plan of Rhode Island
- 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
- Kimberly Watkins
- ALLIANCE MEMBER
- Risk Adjustment Coding Auditor Supervisor at Intermountain Healthcare
- Scott Weiner
- ALLIANCE MEMBER
- Director at Sentara Health Plans (Optima)
- Rebecca Welling
- ALLIANCE MEMBER
- VP Risk adjustment at SelectHealth
- Amy Whalen
- ALLIANCE MEMBER
- Risk Adjustment Coding Specialist at Neighborhood Health Plan of Rhode Island
- Mandy Whitley
- ALLIANCE MEMBER
- Point of Service Coding Analyst at Health Alliance Medical Plans
- Shantel Young
- ALLIANCE MEMBER
- Associate Risk Adjustment Analyst at Health First Health Plans
- Leona Zhu
- ALLIANCE MEMBER
- Risk Adjustment Coder at CCHP
- Michelle Elam
- SPONSOR
- Vice President, Business Development at Centauri Health Solutions
- Thomas Joyer
- SPONSOR
- Chief Commercial Officer at Altruista Health, Inc
- Jeff Marwill
- SPONSOR
- VP, Government Health Plans at Onduo LLC
Speakers
- Deb Curry
Director Risk Adjustment & Recoveries at Paramount Health Care
click here for full people profile
- Nicole Fultz
Director, CX and Communications at Health Plan Alliance
click here for full people profile
- Amy Jack
Risk Adjustment Coding Manager at SelectHealth
click here for full people profile
- Ed Lee
Product Leader, Health Plans Medicare Advantage at IU Health Plans
click here for full people profile
- Kayla Walker
Manager of Risk Adjustment at Baylor Scott & White Health Plan
click here for full people profile