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Alliance Coding Work Group, October 2019: Health Alliance Plan

Event Date: 10/10/2019

Event Overview

Thursday, October 10, 2019
1:00 p.m. CT – 2:30 p.m. CT (90 minutes)
Hosted by: Health Alliance Plan

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 

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. 


 

Thank you to our event sponsors


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

12/05/2019

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

12/12/2019

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

Documents
10/10/2019

Chat log from October 2019 Coding Work Group
Participant chat log from October 2019 Coding Work Group session hosted by Health Alliance Plan.

10/10/2019

Recording: Alliance Coding Work Group, October 2019 - Health Alliance Plan
Alliance peers collaborate 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.

9/18/2019

October 2019 Coding Work Group Case Studies
Health Alliance Plan shares recently coded charts and questions to facilitate discussion on risk adjustment coding best practices during the October 10, 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
  • Lisa Alexander
  • ALLIANCE MEMBER
  • Senior Coding Analyst at Health Alliance Medical Plans
  • Kieley Arakelian
  • ALLIANCE MEMBER
  • Director - Quality Management at Physicians Health Plan
  • Amy Atkins
  • ALLIANCE MEMBER
  • Medical Records Specialist II at Community Health Plan of Washington
  • Kelly Baker
  • ALLIANCE MEMBER
  • Risk Adjustment Clincal Code Reviewer at Presbyterian Health Plan
  • Lacey Baldwin
  • ALLIANCE MEMBER
  • Coder (non cert) at Prominence Health Plan
  • Gay Ball
  • ALLIANCE MEMBER
  • MRA Project Manager at Cone Health
  • Steven Barnett
  • ALLIANCE MEMBER
  • Manager of Quality/Comprehensive Health Assessment at Health First Health Plans
  • Julie Bartels
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Veronica Bickford
  • ALLIANCE MEMBER
  • Risk Adjustment Code Reviewer at Presbyterian Health Plan
  • Kranthi Biragoni
  • ALLIANCE MEMBER
  • Associate Coding Analyst at Providence Health Plans
  • Rosa Bolen
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Mount Carmel Health System
  • Pamela Bower
  • ALLIANCE MEMBER
  • Program Manager, Risk Adjustment at Presbyterian Health Plan
  • 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
  • Heidi Campbell
  • ALLIANCE MEMBER
  • CDI Specialist at Henry Ford Health System
  • Stefanie Carroll
  • ALLIANCE MEMBER
  • Sr. Claims and Reimbursement Specialist at Community Health Plan of Washington
  • Jolene Carter
  • ALLIANCE MEMBER
  • Medical Review Examiner II at CommunityCare
  • Charniece Carter
  • ALLIANCE MEMBER
  • Quality CHA Auditor at Health First Health Plans
  • Kayleigh Cavano
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at Mount Carmel Health Plan (MediGold)
  • Mai Chang
  • ALLIANCE MEMBER
  • Manager, Quality Improvement at Santa Clara Family Health Plan
  • 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
  • Risk Adjustment Team Lead at Geisinger Health Plan
  • Jennifer Cones
  • ALLIANCE MEMBER
  • Manager, Outpatient CDI at Henry Ford Health System
  • Kerstin Conner
  • ALLIANCE MEMBER
  • Clinical Delegation Auditor at Mount Carmel Health Plan (MediGold)
  • Anna Cordon
  • ALLIANCE MEMBER
  • Quality Improvement Coordinator at Health First 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
  • Brandi Deno
  • ALLIANCE MEMBER
  • Actuarial Analyst at Quartz Health Solutions
  • Michelle Dietterick
  • ALLIANCE MEMBER
  • Clinical Transformation Educator at Geisinger Health Plan
  • Crystal Djordjevic
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Consultant at Health Alliance Medical Plans
  • Rudy Dominguez
  • ALLIANCE MEMBER
  • Population Health Managment Process Specialist at Community Health Plan of Washington
  • Michelle Dunning
  • ALLIANCE MEMBER
  • Configuration Coordinator at Presbyterian Health Plan
  • Laurie Edwards
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Mount Carmel Health System
  • Teya Enerson
  • ALLIANCE MEMBER
  • Sr. Claims Coding Associate Pop Health - Risk Adjustment at Indiana University Health Plans
  • Sarah Engle
  • ALLIANCE MEMBER
  • Risk Adjustment and Claims Analytics Supervisor at Western Health Advantage
  • Doris Ewing
  • ALLIANCE MEMBER
  • Coding Analyst at Health Alliance Medical Plans
  • Rhonda Farrar
  • ALLIANCE MEMBER
  • Supervisor of HEDIS at Health First Health 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)
  • Roxanna Geisler
  • ALLIANCE MEMBER
  • Medical Coder at Indiana University Health Plans
  • Lyndsy Glover
  • ALLIANCE MEMBER
  • Risk Adjustment Supervisor at Health First Health Plans
  • Tara Grasley
  • ALLIANCE MEMBER
  • Coder at Geisinger Health Plan
  • Lori Harris
  • ALLIANCE MEMBER
  • Medicare Advantage Coder at Health Alliance Plan (HAP)
  • Amber Harris
  • ALLIANCE MEMBER
  • Director Risk Adjustment at Mount Carmel Health Plan (MediGold)
  • Janet Hill
  • ALLIANCE MEMBER
  • Compliance Coordinator at Paramount Health Care
  • Shelly Huang
  • ALLIANCE MEMBER
  • Risk Adjustment Coder at Chinese Community Health Plan
  • Jenny Hudson
  • ALLIANCE MEMBER
  • OP CDI SPECIALIST at Henry Ford Health System
  • 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
  • Shannon Kast
  • ALLIANCE MEMBER
  • SIU Analyst at Prominence Health Plan
  • Erin Kavanagh
  • ALLIANCE MEMBER
  • Risk Adjustment Coordinator at Samaritan Health Plans
  • Kaesie Kettinger
  • ALLIANCE MEMBER
  • Risk Adjustment Coder at Paramount Health Care
  • Tina Kim
  • ALLIANCE MEMBER
  • Manager of Coding and Chart Operations at Prominence Health Plan
  • Ashley Kim
  • ALLIANCE MEMBER
  • assistant compliance counsel at Central Health Plan of California
  • 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
  • Melissa Lavaki
  • ALLIANCE MEMBER
  • Associate Coding Analyst at Providence Health Plans
  • Anji Lefler
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at SelectHealth
  • Adam Letherby
  • ALLIANCE MEMBER
  • Quality CHA Auditor at Health First Health Plans
  • Melanie Lewis
  • ALLIANCE MEMBER
  • Risk Adjustment Coder at Henry Ford Health System
  • 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)
  • Amber Malone-Wright
  • ALLIANCE MEMBER
  • Manager of HCC Coding & Encounter Data at CHRISTUS Health Plan
  • Peggy Manser
  • ALLIANCE MEMBER
  • Health Risk Coding and Education Specialist II at Health Alliance Plan (HAP)
  • Kathy Mantell
  • ALLIANCE MEMBER
  • Configuration Coding Analyst at SummaCare
  • Greta Matus
  • ALLIANCE MEMBER
  • FWA Special Investigator at Health Alliance Medical Plans
  • Michelle Mayer
  • ALLIANCE MEMBER
  • Quality CHA Auditor at Health First Health Plans
  • Glenda McClung
  • ALLIANCE MEMBER
  • Coding Specialist at Paramount Health Care
  • Sandra McCormack
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Mount Carmel Health System
  • Alicia Mendoza
  • ALLIANCE MEMBER
  • Quality CHA Auditor at Health First Health Plans
  • Maria Menendez
  • ALLIANCE MEMBER
  • RN/CPC/CRC/clinical reviewer at AvMed
  • Sara Milam
  • ALLIANCE MEMBER
  • Quality CHA Auditor at Health First Health Plans
  • Tammy Miller
  • ALLIANCE MEMBER
  • Business Analyst at Scott & White Health Plan
  • Meghan Miller
  • ALLIANCE MEMBER
  • Risk adjustment auditor at Scott & White Health Plan
  • Julie Miller
  • ALLIANCE MEMBER
  • coding analyst at Health Alliance Medical Plans
  • Jaquelynn Mokry
  • ALLIANCE MEMBER
  • Business Analyst at Scott & White Health Plan
  • Stephne Morgan
  • ALLIANCE MEMBER
  • Coding Specialist at Health New England
  • Le'Audry Moultree
  • ALLIANCE MEMBER
  • Outpatient CDI Specialist at Henry Ford Health System
  • 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
  • Audrey Olson
  • ALLIANCE MEMBER
  • Quality Review Nurse at Avera Health Plans (DAKOTACARE)
  • Jaylene Olson
  • ALLIANCE MEMBER
  • Sr. Coding Analyst at Health Alliance Medical Plans
  • Michelle Osborne
  • ALLIANCE MEMBER
  • Outpatient Clinical Documentation Specialist at Henry Ford Health System
  • Kari Pace
  • ALLIANCE MEMBER
  • Clinical Documentation Improvement Nurse-Risk Adjustment/Quality Management at Medical Associates Health Plans
  • Pavel Pechenov
  • ALLIANCE MEMBER
  • Program Manager, Care Improvement at Community Health Plan of Washington
  • candi pegan-crawmer
  • ALLIANCE MEMBER
  • supervisor coding and auditing at Mount Carmel Health System
  • Jana Pennington
  • ALLIANCE MEMBER
  • Risk Adjustment Analytics Manager-Coding at Saint Luke's Health System
  • Tenille Perring
  • ALLIANCE MEMBER
  • Coding Compliance Auditor 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
  • Anupama Rangaswamy
  • ALLIANCE MEMBER
  • Clinical Documentation Specialist at Chinese Community Health Plan
  • 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
  • Jamie Reynard
  • ALLIANCE MEMBER
  • Risk Adjustment at Mount Carmel Health System
  • Monday Reynolds
  • ALLIANCE MEMBER
  • Certified Coder at Santa Clara Family Health Plan
  • Noreen Rhoades
  • ALLIANCE MEMBER
  • Sr. Claims Reimbursement and Coding Specialist at Community Health Plan of Washington
  • 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
  • Lorie Rothermel
  • ALLIANCE MEMBER
  • Risk Adj Coder II at Geisinger Health Plan
  • Kerry Ruedy
  • ALLIANCE MEMBER
  • Quality Improvement Coordinator at Health First Health Plans
  • Sher Rulloda
  • ALLIANCE MEMBER
  • Senior Coder at Prominence Health Plan
  • Kristy Russell
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor II at SelectHealth
  • Elizabeth 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
  • Bryan Smith
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Paramount Health Care
  • 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
  • Ashley Tubb
  • ALLIANCE MEMBER
  • RN at Health First Health Plans
  • Tana Turner
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at SelectHealth
  • Barbara Tyson
  • ALLIANCE MEMBER
  • OP CDI Specialist at Henry Ford Health System
  • Desiree Walke
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Kimberly Watkins
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor III at Intermountain Healthcare
  • Mary Wertz
  • ALLIANCE MEMBER
  • HCC Coding Auditor Manager at Presbyterian Health Plan
  • Mandy Whitley
  • ALLIANCE MEMBER
  • Coding Analyst at Health Alliance Medical Plans
  • Tanya Williams
  • ALLIANCE MEMBER
  • Coding Consultant at Health Alliance Medical Plans
  • Megan Wills
  • ALLIANCE MEMBER
  • Coding Specialist at Prominence Health Plan
  • Aaron Yeung
  • ALLIANCE MEMBER
  • Health Management Coordinator at Chinese Community Health Plan
  • Julie Yohe
  • ALLIANCE MEMBER
  • Coder at Geisinger Health Plan
  • Jade Youngblood
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Paramount Health Care
  • Jenna Zimmerman
  • ALLIANCE MEMBER
  • Coding Compliance Auditor at Geisinger Health Plan
Speakers