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Coding Work Group: March 2024

Event Date: 3/20/2024

Event Overview

Wednesday, 3/20/2024
1:00 PM CT – 2:30 PM CT (90 minutes)
Hosted by: Health Plan Alliance

The Alliance Coding Workgroup brings together individuals within Alliance member health plans, health systems, or provider groups who have responsibility for coding, documentation, or other activities related to RADV audits for Medicare Advantage and Commercial/Exchange products. Each call is hosted by a health plan that will share a selection of medical charts with the group for feedback on risk adjustment coding best practices.

The medical charts are shared at least two weeks in advance of each call. Participants should review the charts, complete the pre-work questions, and come prepared to share how they would code each chart and supporting documentation source(s), if applicable.

 

PLATFORM NOTES: The roundtable discussion will be hosted on Zoom.

Audience

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

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Documents
3/21/2024

Recording: Coding Workgroup March 2024
The Alliance Coding Workgroup brings together individuals within Alliance member health plans, health systems, or provider groups who have responsibility for coding, documentation, or other activities related to RADV audits for Medicare Advantage and Commercial/Exchange products. Join Tammy Allen, Katherine Weinstein with CDPHP and your Coding Workgroup peers to review the selected case studies and discuss on how to code them.

3/5/2024

Coding Workgroup Case Studies Packet March 2024
Collaborate with your Alliance peers on risk adjustment coding best practices. CDPHP shares a collection of recently coded medical charts to discuss the results as a group and share best practices.

Attendees

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

  • Lisa Alexander
  • ALLIANCE MEMBER
  • Point of Service Coding Analyst at Health Alliance Medical Plans
  • Beth Allen
  • ALLIANCE MEMBER
  • CDS/HCC Coding Educator at Sentara Health Plans (Optima)
  • Judith Armstrong
  • ALLIANCE MEMBER
  • Risk Adjustment Quality Assurance Auditor at Capital District Physicians' Health Plan (CDPHP)
  • Karen Artress
  • ALLIANCE MEMBER
  • Outpatient CDI Specialist 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
  • Julie Bartels
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Elizabeth Beriau
  • ALLIANCE MEMBER
  • Compliance Auditor at Johns Hopkins Health Plans
  • Kranthi Biragoni
  • ALLIANCE MEMBER
  • Senior Coding Analyst at Providence Health Plan
  • Angela Bruck
  • ALLIANCE MEMBER
  • Outpatient Clinic CDI at Henry Ford Health System
  • Heather Buckley
  • ALLIANCE MEMBER
  • Risk Adjustment Auditor at Baylor Scott & White Health Plan
  • Jeannine Bumford
  • ALLIANCE MEMBER
  • Director of Risk Adjustment Operations at CHRISTUS Health Plan
  • Sarah Burke
  • ALLIANCE MEMBER
  • Lead Quality Auditor at Health First Health Plans
  • Heidi Campbell
  • ALLIANCE MEMBER
  • OPCDI Specialist at Henry Ford Health System
  • Michele Carey
  • ALLIANCE MEMBER
  • RARM at Health Alliance Medical Plans
  • Sandra Caron
  • ALLIANCE MEMBER
  • Medical Coder at Neighborhood Health Plan of Rhode Island
  • Amber Carroll
  • ALLIANCE MEMBER
  • HCC Coding Analyst at SelectHealth
  • Tami Carter
  • ALLIANCE MEMBER
  • Risk Adjustment Auditor at Health First Health Plans
  • Nadine Casey
  • ALLIANCE MEMBER
  • Compliance Consultant - Fraud, Waste and Abuse Program at IU Health Plans
  • Marty Cerier
  • ALLIANCE MEMBER
  • Director Regulatory Audits and Investigations at Health Alliance Plan (HAP)
  • Kelly Chan
  • ALLIANCE MEMBER
  • Supervisor, Risk Adjustment Coding at Presbyterian Health Plan
  • Ashley-Jo Chapin
  • ALLIANCE MEMBER
  • Risk Adjustment Compliance Nurse at Geisinger Health Plan
  • Jackie Chu Shing
  • ALLIANCE MEMBER
  • Risk Adustment Coding Auditor at SelectHealth
  • Tina Chyko
  • ALLIANCE MEMBER
  • Supervisor - Risk Adjustment at Geisinger Health Plan
  • Abigail Culbreth
  • ALLIANCE MEMBER
  • Associate Coding Analyst at Providence Health Plan
  • Deb Curry
  • ALLIANCE MEMBER
  • Director Risk Adjustment & Recoveries at Paramount Health Care
  • Kaitlyn Daigle
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at Health New England
  • Anne Daly
  • ALLIANCE MEMBER
  • Chief Compliance Officer - Samaritan Health Services at Samaritan Health Plans
  • Wendi Dillon
  • ALLIANCE MEMBER
  • Risk Adjustment Coding and Documentation Specialist at Sentara Health Plans (Optima)
  • Crystal Djordjevic
  • ALLIANCE MEMBER
  • Risk Adjustment Education Specialist at Health Alliance Medical Plans
  • Kathleen Dress
  • ALLIANCE MEMBER
  • Senior Coder - Risk Adjustment at Geisinger Health Plan
  • susan esparza
  • ALLIANCE MEMBER
  • Director of Quality and Health Outcomes at Samaritan Health Plans
  • Doris Ewing
  • ALLIANCE MEMBER
  • Coding Analyst at Health Alliance Medical Plans
  • Maura Fitzgerald
  • ALLIANCE MEMBER
  • Senior Associate, Managed Care Contracting at IU Health Plans
  • Kristine Forrest
  • ALLIANCE MEMBER
  • Health Risk Coding and Education Specialist II at Health Alliance Plan (HAP)
  • Cha Nesha Griffin
  • ALLIANCE MEMBER
  • Risk Adjustment Senior Analyst at Baylor Scott & White Health Plan
  • Kelly Hall
  • ALLIANCE MEMBER
  • Risk Adjustment Coder & Documentation Specialist at Sentara Health Plans (Optima)
  • Amber Harris
  • ALLIANCE MEMBER
  • Director Risk Adjustment at MediGold
  • Lori Harris
  • ALLIANCE MEMBER
  • Lead Health Risk Coding & Education Specialist at Health Alliance Plan (HAP)
  • Laurie Hawks
  • ALLIANCE MEMBER
  • Clinical Appeals Nurse at Health First Health Plans
  • Jenny Hudson
  • ALLIANCE MEMBER
  • OP CDI SPECIALIST at Henry Ford Health System
  • Amber Huelsman
  • ALLIANCE MEMBER
  • OP CDI Specialist at Health Alliance Plan (HAP)
  • 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
  • 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
  • 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
  • Sara Khwaja
  • ALLIANCE MEMBER
  • VBC Consultant at Health Alliance Plan (HAP)
  • Cassie Lane
  • ALLIANCE MEMBER
  • Associate-Senior Claims Coding at IU Health Plans
  • Sarah Larence
  • ALLIANCE MEMBER
  • Benefit Configuration Sr. Analyst at Presbyterian Health Plan
  • Daniel Larocco
  • ALLIANCE MEMBER
  • Coding Specialist at HealthTeam Advantage
  • Letecia Lear
  • ALLIANCE MEMBER
  • Remote Risk Adjustment Auditor I at Baylor Scott & White Health Plan
  • Brianne Leverenz
  • ALLIANCE MEMBER
  • Risk Adjustment Manager at Health Alliance Medical Plans
  • Melanie Lewis
  • ALLIANCE MEMBER
  • Risk Adjustment Coder at Henry Ford Health System
  • Samantha Long
  • ALLIANCE MEMBER
  • Chart Retrieval Analyst at SummaCare
  • Stephanie Long
  • ALLIANCE MEMBER
  • Health Risk Coding & Education Specialist II at Health Alliance Plan (HAP)
  • Rhonda Long
  • ALLIANCE MEMBER
  • Coding Analyst at Health Alliance Medical Plans
  • Jeanne Lui
  • ALLIANCE MEMBER
  • Risk Adjustment Coordinator at CCHP
  • Mary Lupas
  • ALLIANCE MEMBER
  • Project Coordinator, Risk Adjustment at MediGold
  • Kathy Mantell
  • ALLIANCE MEMBER
  • Provider Configuration Specialist at SummaCare
  • Angela Martini
  • ALLIANCE MEMBER
  • Quality Improvement Coordinator at Sentara Health Plans (Optima)
  • Shaniqua McCombs
  • ALLIANCE MEMBER
  • Risk Adjustment Auditor at Baylor Scott & White Health Plan
  • Maria Menendez
  • ALLIANCE MEMBER
  • RN/CPC/CRC/clinical reviewer at AvMed
  • Meghan Miller
  • ALLIANCE MEMBER
  • Risk adjustment auditor at Baylor Scott & White Health Plan
  • Rachael Minnich
  • ALLIANCE MEMBER
  • Remote Risk Adjustment Auditor at Baylor Scott & White Health Plan
  • Stephne Morgan
  • ALLIANCE MEMBER
  • Risk Adjustment Program Manager at Health New England
  • Cathy Nagy
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment Coding and Education at Health Alliance Plan (HAP)
  • Donna Norero
  • ALLIANCE MEMBER
  • Clinical Coding Reviewer at Presbyterian Health Plan
  • Caryn O'Haire
  • ALLIANCE MEMBER
  • RN Clinical Auditor at Neighborhood Health Plan of Rhode Island
  • Jaylene Olson
  • ALLIANCE MEMBER
  • Point of Service Coding Analyst at Health Alliance Medical Plans
  • Michelle Osborne
  • ALLIANCE MEMBER
  • Outpatient Clinical Documentation Specialist at Henry Ford Health System
  • Tracy Parent
  • ALLIANCE MEMBER
  • Risk Adjustment Coder at Community Health Options
  • Jana Pennington
  • ALLIANCE MEMBER
  • Risk Adjustment Analytics Manager-Coding at Saint Luke's Health System
  • Lisa Potter
  • ALLIANCE MEMBER
  • Risk Adjustment coder/ Educator/MA Abstract Analyst II at Health Alliance Plan (HAP)
  • Kylie Rasmussen
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at SelectHealth
  • 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
  • Heather Richardson
  • ALLIANCE MEMBER
  • Sr. Medicare Compliance Analyst at Physicians Health Plan
  • Laura Robinson
  • ALLIANCE MEMBER
  • Associate Coding Analyst at Providence Health Plan
  • Maria Rodriguez
  • ALLIANCE MEMBER
  • Risk Adjustment Coder II at Baylor Scott & White Health Plan
  • Allison Runyan
  • ALLIANCE MEMBER
  • Supervisor of Risk Adjustment Operations at Health First 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
  • Christopher Sawyer
  • ALLIANCE MEMBER
  • Outpatient CDI Specialist - HFHS at Health Alliance Plan (HAP)
  • Michelle Sedillo
  • ALLIANCE MEMBER
  • Risk Adjustment Coder/Reviewer at Presbyterian Health Plan
  • Nali Shin
  • ALLIANCE MEMBER
  • Associate Coding Analyst at Providence Health Plan
  • 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
  • Rochelle Smith
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor I at SelectHealth
  • Bryan Smith-Workman
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor II at Paramount Health Care
  • Elisabeth St.Laurent
  • ALLIANCE MEMBER
  • LPN, CPC, CRC, CPMA_ Team Coordinator Risk Adjustment Coding and Compliance Coding and Compliance at Sentara Health Plans (Optima)
  • Loan Stackhouse
  • ALLIANCE MEMBER
  • Coding at Community Health Plan of Washington
  • Lisa Stanton
  • ALLIANCE MEMBER
  • OP CDI at Health Alliance Plan (HAP)
  • Valerie Steen
  • ALLIANCE MEMBER
  • Sr. Claims Reimbursement and Coding Specialist at Community Health Plan of Washington
  • Lisa Stephens
  • ALLIANCE MEMBER
  • Supervisor Risk Adjustment at Providence Health Plan
  • Deb Sterner
  • ALLIANCE MEMBER
  • Clinical Auditor at Geisinger Health Plan
  • Deborah Talacko
  • ALLIANCE MEMBER
  • Policy and Coding Research Specialist at Community Health Options
  • Deborah Thomasson
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at Paramount Health Care
  • Rhonda Thrift
  • ALLIANCE MEMBER
  • Director, Network Modeling and Pricing at Sentara Health Plans (Optima)
  • Kyrie-Anne Tran
  • ALLIANCE MEMBER
  • Associate Coding Analyst at Providence Health Plan
  • Tana Turner
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor ll at SelectHealth
  • Daniel Vestboe
  • ALLIANCE MEMBER
  • Coding Analyst at Providence Health Plan
  • Desiree Walke
  • ALLIANCE MEMBER
  • Risk Adjustment Compliance Analyst at Quartz Health Solutions
  • Rebecca Walker
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Manager at Presbyterian Health Plan
  • Denise Warner
  • ALLIANCE MEMBER
  • Associate Coding Analyst at Providence Health Plan
  • Samia Watkins
  • ALLIANCE MEMBER
  • Outpatient CDI Specialist at Health Alliance Plan (HAP)
  • Katherine Weinstein
  • ALLIANCE MEMBER
  • Risk Adjustment Quality Assurance Auditor II at Capital District Physicians' Health Plan (CDPHP)
  • 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
  • Joan Wilberg
  • ALLIANCE MEMBER
  • Manager, Healthcare Economics at IU Health Plans
  • Amanda Wozniak
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at Paramount Health Care
  • Leona Zhu
  • ALLIANCE MEMBER
  • Risk Adjustment Coder at CCHP
  • Stephanie Ziegler
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment Coding at Community Health Plan of Washington
Speakers