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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

08/30/2019

RADV discussion: CON-14 RADV audit

09/12/2019

Risk Adjustment Round Table: Sept 2019 -- Alliant Health Plans

10/10/2019

Alliance Coding Work Group, October 2019: Health Alliance Plan

11/14/2019

Risk Adjustment Round Table: Nov 2019 -- Sentara Health Plans (Optima)

12/05/2019

Alliance Coding Work Group, December 2019: Sentara Health Plans (Optima)

Documents
  • 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

  • Dega Abdi
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at Mount Carmel Health Plan (MediGold)
  • Ann Adams
  • ALLIANCE MEMBER
  • Business Analyst at Scott & White 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 MetroPlus Health Plan
  • Kelly Baker
  • ALLIANCE MEMBER
  • Risk Adjustment Clincal Code Reviewer at Presbyterian Health Plan
  • Gay Ball
  • ALLIANCE MEMBER
  • MRA Project Manager at Cone Health
  • Julie Bartels
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Michael Baumann
  • ALLIANCE MEMBER
  • Business Analyst at Scott & White Health Plan
  • Veronica Bickford
  • ALLIANCE MEMBER
  • Risk Adjustment Code Reviewer at Presbyterian Health Plan
  • Kranthi Biragoni
  • ALLIANCE MEMBER
  • Associate Coding Analyst at Providence Health Plans
  • Pamela Bower
  • ALLIANCE MEMBER
  • Program Manager, Risk Adjustment at Presbyterian Health Plan
  • Sibyl Boyd
  • ALLIANCE MEMBER
  • Medical Department Coordinator at Cox HealthPlans
  • DeeEl Brovetto
  • ALLIANCE MEMBER
  • Risk Adjustment Auditor II at Scott & White Health Plan
  • Sarah Burke
  • ALLIANCE MEMBER
  • Quality Auditor at Health First Health Plans
  • Kristin Calkins
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Elizabeth Carman
  • ALLIANCE MEMBER
  • SIU Nurse Auditor at Presbyterian Health Plan
  • Stefanie Carroll
  • ALLIANCE MEMBER
  • Sr. Claims and Reimbursement Specialist at Community Health Plan of Washington
  • Kayleigh Cavano
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at Mount Carmel Health Plan (MediGold)
  • Brenda Chavez
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at Health New England
  • Jackie Chu Shing
  • ALLIANCE MEMBER
  • Risk Adustment Coding Auditor at SelectHealth
  • Tina Chyko
  • ALLIANCE MEMBER
  • GHP Coder III at Geisinger Health Plan
  • Wynda Clayton
  • ALLIANCE MEMBER
  • Risk Adjustment Manager at Providence Health Plans
  • Sara Curry
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Compliance Auditor at Geisinger Health Plan
  • Deb Curry
  • ALLIANCE MEMBER
  • Risk Adjustment Manager at Paramount Health Care
  • Anelladee de Leon
  • ALLIANCE MEMBER
  • System Configuration Analyst CPC at Presbyterian Health Plan
  • Michelle Dietterick
  • ALLIANCE MEMBER
  • Clinical Transformation Educator at Geisinger Health Plan
  • Diana Dlubala
  • ALLIANCE MEMBER
  • Outpatient Coder at Sentara Health Plans (Optima)
  • Teya Enerson
  • ALLIANCE MEMBER
  • Sr. Claims Coding Associate Pop Health - Risk Adjustment at Indiana University Health Plans
  • Doris Ewing
  • ALLIANCE MEMBER
  • Coding Analyst at Health Alliance Medical Plans
  • Kristine Forrest
  • ALLIANCE MEMBER
  • Provider Educator at Health Alliance Plan (HAP)
  • MELISSA GAIR
  • ALLIANCE MEMBER
  • CODER 1 at Geisinger Health Plan
  • 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 Mount Carmel Health Plan (MediGold)
  • Laurie Hawks
  • ALLIANCE MEMBER
  • Interim Director, Case Management at Health First Health Plans
  • Janet Hill
  • ALLIANCE MEMBER
  • Compliance Coordinator at Paramount Health Care
  • Amy Jack
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor Supervisor at SelectHealth
  • Karen Jensen
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment at Quartz Health Solutions
  • Rita Johnson
  • ALLIANCE MEMBER
  • SIU Investigator, Program Integrity at Presbyterian Health Plan
  • Morgan Johnson
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at SelectHealth
  • Erin Kalagher
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Health New England
  • Erin Kavanagh
  • ALLIANCE MEMBER
  • Risk Adjustment Coordinator at Samaritan Health Plans
  • Kaitlin Knapik
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor 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 Indiana University Health Plans
  • Sarah Larence
  • ALLIANCE MEMBER
  • Benefit Configuration Sr. Analyst at Presbyterian Health Plan
  • Melissa Lavaki
  • ALLIANCE MEMBER
  • Associate Coding Analyst at Providence Health Plans
  • 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
  • Amy Mann
  • ALLIANCE MEMBER
  • Configuration Specialist at Avera Health Plans (DAKOTACARE)
  • Peggy Manser
  • ALLIANCE MEMBER
  • Health Risk Coding and Education Specialist II at Health Alliance Plan (HAP)
  • Glenda McClung
  • ALLIANCE MEMBER
  • Coding Specialist at Paramount Health Care
  • Maria Menendez
  • ALLIANCE MEMBER
  • RN/CPC/CRC/clinical reviewer at AvMed
  • Meghan Miller
  • ALLIANCE MEMBER
  • Risk adjustment auditor at Scott & White Health Plan
  • Tammy Miller
  • ALLIANCE MEMBER
  • Business Analyst at Scott & White Health Plan
  • Stephne Morgan
  • ALLIANCE MEMBER
  • Coding Specialist at Health New England
  • Daniel Morrissey
  • ALLIANCE MEMBER
  • Assistant Coordinator at Paramount Health Care
  • 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
  • Sr. Coding 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
  • Joyce Petermann
  • ALLIANCE MEMBER
  • Coding validator/risk adjustment specialist at Avera Health Plans (DAKOTACARE)
  • Deborah Pickering
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Paramount Health Care
  • Lisa Potter
  • ALLIANCE MEMBER
  • Risk Adjustment coder/ MA Abstract Analyst II at Health Alliance Plan (HAP)
  • Alix Putnam
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor I 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
  • Monday Reynolds
  • ALLIANCE MEMBER
  • Certified Coder at Santa Clara Family Health Plan
  • Heather Richardson
  • ALLIANCE MEMBER
  • Quality Assurance Analyst, CPC at Physicians Health Plan
  • Patricia Rivera
  • ALLIANCE MEMBER
  • System Configuration Analyst - CPC at Presbyterian Health Plan
  • Kimberly Romero
  • ALLIANCE MEMBER
  • Risk Adjustment Clinical Coding Reviewer at Presbyterian Health Plan
  • Katherine Ross
  • ALLIANCE MEMBER
  • Fraud, Waste and Abuse Analyst at Paramount Health Care
  • Kristy Russell
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor II at SelectHealth
  • Wilfrieda Schultz
  • ALLIANCE MEMBER
  • Risk Adjustment Coder at Community Health Options
  • Elizabeth Shubitowski
  • ALLIANCE MEMBER
  • Health Risk Coding & Education Specialist II at Health Alliance Plan (HAP)
  • Bryan Smith
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Paramount Health Care
  • Rochelle Smith
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor I at SelectHealth
  • Nancy Smith
  • ALLIANCE MEMBER
  • Operational Coder at Health First Health Plans
  • Elisabeth St.Laurent
  • ALLIANCE MEMBER
  • LPN, CPC, CPMA_ Team Lead HCC Risk Adjustment Coders at Sentara Health Plans (Optima)
  • Valerie Steen
  • ALLIANCE MEMBER
  • Sr. Claims Reimbursement and Coding Specialist at Community Health Plan of Washington
  • Betsy Thompson
  • ALLIANCE MEMBER
  • Configuration Analyst - Certified Professional Coder at Presbyterian Health Plan
  • Tana Turner
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at SelectHealth
  • Desiree Walke
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Kayla Walker
  • ALLIANCE MEMBER
  • Risk Adjustment Auditor II at Scott & White Health Plan
  • Kimberly Watkins
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor III at Intermountain Healthcare
  • Rebecca Welling
  • ALLIANCE MEMBER
  • Director Coding Compliance at Providence Health Plans
  • Mary Wertz
  • ALLIANCE MEMBER
  • HCC Coding Auditor Manager at Presbyterian Health Plan
  • Mandy Whitley
  • ALLIANCE MEMBER
  • Coding Analyst at Health Alliance Medical Plans
  • Joan Wilberg
  • ALLIANCE MEMBER
  • Manager, Healthcare Economics at Indiana University Health Plans
  • Jade Youngblood
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Paramount Health Care
Speakers