Return to search

Alliance Coding Work Group, November 2018: Quartz Health Solutions

Event Date: 11/8/2018

Event Overview

Thursday, November 8, 2018
1:00 p.m. CT – 2:30 p.m. CT (90 minutes)
Hosted by: Quartz Health Solutions

This event is hosted in our ReadyTalk platform.


Overview

This call is one in a series designed for the Alliance coding work group.  Each call is hosted by a health plan that will share a selection of charts with the group for feedback on risk adjustment coding best practices.

Process

  1. To receive email communications about his event, make sure you have "risk adjustment" or "coding" selected as an area of interest and your are subscribed to receive emails regarding webinars in your profile.

  2. Case study charts are shared at least two weeks in advance of the call (emailed to individuals who have selected risk adjustment or coding as an area of interest in their profile and posted to the document tab of the event page)

  3. In advance, review the case study charts, complete the pre-call survey (link provided in document) indicating how you would code each case study. Be prepared to share how you would code it and your supporting documentation source, if applicable.

  4. Register and participate in the call: During the call, the facilitator will share the pre-all survey results, ask for your feedback on how you would code the chart and why, then launch a post-discussion poll to assess the group’s final decision. NOTE: While it is the goal of the group to arrive at a resolution for each chart with referenced literature/materials substantiating the decision; occasionally there is no consensus due to unclear regulatory guidance or irreconcilable coding practices.

  5. The recording of the call will be made available in the Alliance knowledge center and from the document tab of the event page.

 

Remaining time
Any remaining time during the call will be available for open discussion, which could be used to:

  • Review recent Alliance discussion forum conversations between coders
  • Review and highlight best practices, with additional clarification and discussion as needed
  • Explore potential inaccuracies and assign for follow-up discussion on the next call

 

Participant best practices

  • Host a pre-call meeting with other participants from your team: Review the case studies, discuss and complete the pre-call survey together
  • If possible, join the call together in a conference room: All lines are off-mute during the call; joining as a group will help reduce background noise (NOTE: To receive the CEU certificates log-on from desktop before you join your group OR have the individual who logged-in forward you the email with the CEU certificates)

 

Audience

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


AAPC and AHIMA CEUs 

CEUs are currently pending approval from AAPC and AHIMA.

  • AAPC: This event has been approved by the AAPC for 1.5 CEUs.
  • AHIMA: The program has been approved for 1.5 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. 
  • Only attendees to the live webinar event may earn these CEUs. The certificates will be sent to each attendee directly after they log into the event using the Individual Access Link provided by the Readytalk platform.
  • If you are missing a CEU certificate, email info@healthplanalliance.org.
 

Ask your peers a question anytime through the discussion forum

You can visit the discussion forum and post a question anytime. It's only available to Alliance health plan members, so you question is private and secure. When submitting a question, you can select which interests your question is related to, such as "risk adjustment" or "coding". Individuals with those "areas of interest" selected in their profile and who are subscribed 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.

Post a question  |  Learn more about the discussion forum

 

Upcoming risk adjustment/coding events

05/29/2024

Coding Work Group: May 2024

08/21/2024

Coding Work Group: August 2024

10/30/2024

Coding Work Group: October 2024

12/12/2024

Coding Work Group: December 2024

Documents
11/8/2018

Chat log from November 2018 Coding Work Group
Participant chat log from November 2018 Coding Work Group session hosted by Quartz

11/8/2018

Recording: Alliance Coding Work Group November 2018
Quartz Health Solutions shares recently coded charts and questions to facilitate discussion on risk adjustment coding best practices during the November 8, 2018 Coding Work Group Session.

10/22/2018

November 2018 Coding Work Group Case Studies
Quartz Health Solutions shares recently coded charts and questions to facilitate discussion on risk adjustment coding best practices during the November 8, 2018 Coding Work Group Session.

Attendees

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

  • Carrie Abenante
  • ALLIANCE MEMBER
  • Manager, Special Investigations Unit at Sentara Health Plans (Optima)
  • Lisa Alexander
  • ALLIANCE MEMBER
  • Point of Service Coding Analyst at Health Alliance Medical Plans
  • Kathleen Allen
  • ALLIANCE MEMBER
  • Risk Adjustment Coder III at Geisinger Health Plan
  • Lori Asmus
  • ALLIANCE MEMBER
  • Director, Risk Adjustment at Network Health
  • Julie Bartels
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Michael Baumann
  • ALLIANCE MEMBER
  • Director of Compliance at Baylor Scott & White Health Plan
  • Kranthi Biragoni
  • ALLIANCE MEMBER
  • Senior Coding Analyst at Providence Health Plan
  • Pamela Bower
  • ALLIANCE MEMBER
  • Program Manager, Risk Adjustment at Presbyterian Health Plan
  • Bill Bradish
  • ALLIANCE MEMBER
  • Manager-SIU at Presbyterian Health Plan
  • DeeEl Brovetto
  • ALLIANCE MEMBER
  • Risk Adjustment Auditor II at Baylor Scott & White Health Plan
  • Sarah Burke
  • ALLIANCE MEMBER
  • Lead Quality Auditor at Health First Health Plans
  • Kristin Calkins
  • ALLIANCE MEMBER
  • SIU Investigator at Quartz Health Solutions
  • Kayleigh Cavano
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at MediGold
  • Kelly Chan
  • ALLIANCE MEMBER
  • Supervisor, Risk Adjustment Coding at Presbyterian Health Plan
  • Jackie Chu Shing
  • ALLIANCE MEMBER
  • Risk Adustment Coding Auditor at SelectHealth
  • Tina Chyko
  • ALLIANCE MEMBER
  • Supervisor - Risk Adjustment at Geisinger Health Plan
  • Deb Curry
  • ALLIANCE MEMBER
  • Director Risk Adjustment & Recoveries at Paramount Health Care
  • Anelladee de Leon
  • ALLIANCE MEMBER
  • System Configuration Analyst CPC at Presbyterian Health Plan
  • Crystal Djordjevic
  • ALLIANCE MEMBER
  • Risk Adjustment Education Specialist at Health Alliance Medical Plans
  • Michelle Dunning
  • ALLIANCE MEMBER
  • Configuration Coordinator at Presbyterian Health Plan
  • Jessica Dupont
  • ALLIANCE MEMBER
  • Vice President of Government Programs at Alliant Health Plans
  • 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)
  • 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
  • Amy Jack
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Manager at SelectHealth
  • 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
  • Morgan Johnson
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at SelectHealth
  • Ellen Johnston
  • ALLIANCE MEMBER
  • Program Manager, Risk and Coding Accuracy at MediGold
  • Erin Kalagher
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Health New England
  • Erin Kavanagh
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Samaritan Health Plans
  • Kaesie Kettinger
  • ALLIANCE MEMBER
  • Senior Risk Adjustment Auditor at Paramount Health Care
  • Cassie Lane
  • ALLIANCE MEMBER
  • Associate-Senior Claims Coding at IU Health Plans
  • Sarah Larence
  • ALLIANCE MEMBER
  • Benefit Configuration Sr. Analyst at Presbyterian Health Plan
  • Anji Lefler
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at SelectHealth
  • Rhonda Long
  • ALLIANCE MEMBER
  • Coding Analyst at Health Alliance Medical Plans
  • Stephanie Long
  • ALLIANCE MEMBER
  • Health Risk Coding & Education Specialist II at Health Alliance Plan (HAP)
  • Kathy Mantell
  • ALLIANCE MEMBER
  • Provider Configuration Specialist at SummaCare
  • Bonnie Masser
  • ALLIANCE MEMBER
  • Clinical Auditor at Geisinger Health Plan
  • Donna Mayer
  • ALLIANCE MEMBER
  • Nurse Auditor at Presbyterian 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
  • Tammy Miller
  • ALLIANCE MEMBER
  • Business Analyst at Baylor Scott & White Health Plan
  • Jade Moore
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Paramount Health Care
  • 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)
  • Sandra Nary
  • ALLIANCE MEMBER
  • Clinical Auditor at Neighborhood Health Plan of Rhode Island
  • Donna Norero
  • ALLIANCE MEMBER
  • Clinical Coding Reviewer at Presbyterian Health Plan
  • Jaylene Olson
  • ALLIANCE MEMBER
  • Senior Risk Adjustment Analyst at Health Alliance Medical Plans
  • Kari Pace
  • ALLIANCE MEMBER
  • Clinical Documentation Improvement Nurse-Risk Adjustment/Quality Management at Medical Associates Health Plans
  • Jana Pennington
  • ALLIANCE MEMBER
  • Risk Adjustment Analytics Manager-Coding at Saint Luke's Health System
  • Robin Perry
  • ALLIANCE MEMBER
  • Coding Consultant at Health Alliance Medical 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
  • Kylie Rasmussen
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor 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
  • 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
  • Patricia Rivera
  • ALLIANCE MEMBER
  • System Configuration Analyst - CPC at Presbyterian Health Plan
  • Kristy Russell
  • ALLIANCE MEMBER
  • HCC Coding Analyst Supervisor at SelectHealth
  • Ivis Salgado
  • ALLIANCE MEMBER
  • RN,CPMA,CDEO,CRC,Clinical Reviewer at AvMed
  • Liz Shubitowski
  • ALLIANCE MEMBER
  • Health Risk Coding & Education Specialist II at Health Alliance Plan (HAP)
  • Rochelle Smith
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor I at SelectHealth
  • Valerie Steen
  • ALLIANCE MEMBER
  • Sr. Claims Reimbursement and Coding Specialist at Community Health Plan of Washington
  • Elaine Taylor
  • ALLIANCE MEMBER
  • Compliance Consultant at IU Health Plans
  • Deborah Thomasson
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at Paramount Health Care
  • Betsy Thompson
  • ALLIANCE MEMBER
  • Senior Configuration Analyst - CPC at Presbyterian Health Plan
  • Tana Turner
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor ll at SelectHealth
  • 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
  • Kimberly Watkins
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor Supervisor at Intermountain Healthcare
  • Mandy Whitley
  • ALLIANCE MEMBER
  • Point of Service Coding Analyst at Health Alliance Medical Plans
  • Tanya Williams
  • ALLIANCE MEMBER
  • Coding Consultant at Health Alliance Medical Plans
Speakers