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Alliance Coding Work Group, February 2019: Health Alliance Medical Plans

Event Date: 2/7/2019

Event Overview

Thursday, February 7, 2019
1:00 p.m. CT – 2:30 p.m. CT (90 minutes)
Hosted by: Health Alliance Medical Plans

This event is hosted in our ReadyTalk platform.

The Alliance Coding Work Group 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.

Remaining time will be used for open discussion.

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 

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. 

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 you question is private and secure. When submitting a question, you can select which topics your question is related to, such as "risk adjustment" or "coding". 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.

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
2/7/2019

Chat log from February 2019 Coding Work Group
Participant chat log from February 2019 Coding Work Group session hosted by Health Alliance Medical Plans.

2/7/2019

Recording: Alliance Coding Work Group, February 2019: Health Alliance Medical Plans
Collaborate with your Alliance peers on risk adjustment coding best practices. During each session, you'll review a collection of recently coded medical charts provided by the health plan host, vote on how you would code each chart, then discuss the results as a group and share best practices. Remaining time is used for open discussion.

1/28/2019

February 2019 Coding Work Group Case Studies
Health Alliance Medical Plans shares recently coded charts and questions to facilitate discussion on risk adjustment coding best practices during the February 7, 2019 Coding Work Group Session.

Attendees

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

  • Kathleen Allen
  • ALLIANCE MEMBER
  • Risk Adjustment Coder III at Geisinger Health Plan
  • Amy Atkins
  • ALLIANCE MEMBER
  • Medical Records Specialist II at Community Health Plan of Washington
  • Frank Badillo
  • ALLIANCE MEMBER
  • Healthcare Payment Innovation Lead at MetroPlusHealth
  • 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
  • Cassandra Blunck
  • ALLIANCE MEMBER
  • Clinical Transformation Educator at Geisinger Health Plan
  • Pamela Bower
  • ALLIANCE MEMBER
  • Program Manager, Risk Adjustment at Presbyterian Health Plan
  • Sibyl Boyd
  • ALLIANCE MEMBER
  • Medical Department Coordinator/Certified Risk Adjustment Coder at Cox HealthPlans
  • Dalene Brandenburg
  • ALLIANCE MEMBER
  • Data Analytics Coordinator at Health Alliance Medical Plans
  • 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
  • Stefanie Carroll
  • ALLIANCE MEMBER
  • Sr. Claims and Reimbursement Specialist at Community Health Plan of Washington
  • 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
  • Wynda Clayton
  • ALLIANCE MEMBER
  • Risk Adjustment Manager at Providence 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
  • Diana Dlubala
  • ALLIANCE MEMBER
  • CPC/CRC at Sentara Health Plans (Optima)
  • 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)
  • Tara Grasley
  • ALLIANCE MEMBER
  • Coder at Geisinger Health Plan
  • Amber Harris
  • ALLIANCE MEMBER
  • Director Risk Adjustment at MediGold
  • 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
  • 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
  • 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
  • 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
  • Glenda McClung
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor 2 at Paramount Health Care
  • 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)
  • 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
  • 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
  • Elisabeth St.Laurent
  • ALLIANCE MEMBER
  • LPN, CPC, CRC, CPMA_ Team Coordinator Risk Adjustment Coding and Compliance Coding and Compliance at Sentara Health Plans (Optima)
  • Valerie Steen
  • ALLIANCE MEMBER
  • Sr. Claims Reimbursement and Coding Specialist at Community Health Plan of Washington
  • 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
  • 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
  • Joan Wilberg
  • ALLIANCE MEMBER
  • Manager, Healthcare Economics at IU Health Plans
Speakers