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Alliance Coding Work Group, April 2019: Health New England

Event Date: 4/4/2019

Event Overview

Thursday, April 4, 2019
1:00 p.m. CT – 2:30 p.m. CT (90 minutes)
Hosted by: Health New England

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
4/9/2019

Recording: April 2019 Coding Work Group Case Studies
Health New England shares recently coded charts and questions to facilitate discussion on risk adjustment coding best practices during the April 4, 2019 Coding Work Group Session.

4/4/2019

Chat log from April 2019 Coding Work Group
Participant chat log from April 2019 Coding Work Group session hosted by Health New England.

3/21/2019

April 2019 Coding Work Group Case Studies
Health New England shares recently coded charts and questions to facilitate discussion on risk adjustment coding best practices during the April 4, 2019 Coding Work Group Session.

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
  • Kathleen Allen
  • ALLIANCE MEMBER
  • Risk Adjustment Coder III at Geisinger Health Plan
  • Lori Asmus
  • ALLIANCE MEMBER
  • Director, Risk Adjustment at Network Health
  • Amy Atkins
  • ALLIANCE MEMBER
  • Medical Records Specialist II at Community Health Plan of Washington
  • Julie Bartels
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Michael Baumann
  • ALLIANCE MEMBER
  • Director of Compliance at Baylor Scott & White 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
  • Bill Bradish
  • ALLIANCE MEMBER
  • Manager-SIU at Presbyterian Health Plan
  • 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
  • Heidi Campbell
  • ALLIANCE MEMBER
  • OPCDI Specialist at Henry Ford Health System
  • Charniece Carter
  • ALLIANCE MEMBER
  • Risk Adjustment Operations Supervisor at Health First Health Plans
  • Kayleigh Cavano
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at MediGold
  • 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
  • Allen Chen
  • ALLIANCE MEMBER
  • Director of Network Operations at Central Health Plan of California
  • 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
  • Crystal Djordjevic
  • ALLIANCE MEMBER
  • Risk Adjustment Education Specialist at Health Alliance Medical Plans
  • Diana Dlubala
  • ALLIANCE MEMBER
  • CPC/CRC at Sentara Health Plans (Optima)
  • Michelle Dunning
  • ALLIANCE MEMBER
  • Configuration Coordinator at Presbyterian Health Plan
  • Doris Ewing
  • ALLIANCE MEMBER
  • Coding Analyst at Health Alliance Medical Plans
  • Michelle Faniola
  • ALLIANCE MEMBER
  • Program Integrity Investigator III at Presbyterian Health Plan
  • 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
  • Lori Harris
  • ALLIANCE MEMBER
  • Lead Health Risk Coding & Education Specialist at Health Alliance Plan (HAP)
  • Jenny Hudson
  • ALLIANCE MEMBER
  • OP CDI SPECIALIST at Henry Ford Health System
  • 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
  • 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
  • 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
  • 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)
  • Glenda McClung
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor 2 at Paramount Health Care
  • Maria Menendez
  • ALLIANCE MEMBER
  • RN/CPC/CRC/clinical reviewer at AvMed
  • Tammy Miller
  • ALLIANCE MEMBER
  • Business Analyst at Baylor Scott & White Health Plan
  • Meghan Miller
  • ALLIANCE MEMBER
  • Risk adjustment auditor at Baylor Scott & White Health Plan
  • Julie Miller
  • ALLIANCE MEMBER
  • coding analyst at Health Alliance Medical Plans
  • 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
  • Point of Service Coding Analyst at Health Alliance Medical Plans
  • Michelle Osborne
  • ALLIANCE MEMBER
  • Outpatient Clinical Documentation Specialist at Henry Ford Health System
  • 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
  • Jill Reynolds
  • ALLIANCE MEMBER
  • Risk Adjustment Quality Auditor at Providence Health Plan
  • Heather Richardson
  • ALLIANCE MEMBER
  • Sr. Medicare Compliance Analyst at Physicians Health Plan
  • Patricia Rivera
  • ALLIANCE MEMBER
  • System Configuration Analyst - CPC at Presbyterian Health Plan
  • Lorie Rothermel
  • ALLIANCE MEMBER
  • Risk Adj Coder III at Geisinger Health Plan
  • Kristy Russell
  • ALLIANCE MEMBER
  • HCC Coding Analyst Supervisor at SelectHealth
  • Ivis Salgado
  • ALLIANCE MEMBER
  • RN,CPMA,CDEO,CRC,Clinical Reviewer at AvMed
  • Stefanie Shelton
  • ALLIANCE MEMBER
  • Sr. Claims and Reimbursement Specialist at Community Health Plan of Washington
  • Annie Shieh
  • ALLIANCE MEMBER
  • Sr. Director of Compliance, CA Compliance Officer at Central Health Plan of California
  • 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
  • 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
  • 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
  • Julie Yohe
  • ALLIANCE MEMBER
  • Coder at Geisinger Health Plan
  • Jenna Zimmerman
  • ALLIANCE MEMBER
  • Coding Program Trainer at Geisinger Health Plan
Speakers