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Coding Work Group 2020, Session 2: Presbyterian Health Plan

Event Date: 5/21/2020

Event Overview

Thursday, 5/21/2020
1:00 PM CST – 2:30 PM CST (90 minutes)

This event is hosted on our BigMarker 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. 


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 your 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
5/27/2020

Recording: Coding Work Group 2020, Session 2: Presbyterian Health Plan
Alliance peers 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.

4/28/2020

May 2020 Coding Work Group Case Studies
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. The remaining time is used for open discussion.

Attendees

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

  • Faith Achenbach
  • ALLIANCE MEMBER
  • Physician Compliance Auditor II at Baylor Scott & White Health
  • Lisa Alexander
  • ALLIANCE MEMBER
  • Point of Service Coding Analyst at Health Alliance Medical Plans
  • Robyn Anderson
  • ALLIANCE MEMBER
  • Delegation Oversight Auditor at Health Alliance Plan (HAP)
  • 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
  • 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
  • DeeEl Brovetto
  • ALLIANCE MEMBER
  • Risk Adjustment Auditor II at Baylor Scott & White Health Plan
  • Angela Bruck
  • ALLIANCE MEMBER
  • Outpatient Clinic CDI at Henry Ford Health System
  • 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
  • Michele Carey
  • ALLIANCE MEMBER
  • RARM at Health Alliance Medical Plans
  • Stefanie Carroll
  • ALLIANCE MEMBER
  • Sr. Claims and Reimbursement Specialist at Community Health Plan of Washington
  • 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
  • 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
  • Esther D'Arezzo
  • ALLIANCE MEMBER
  • RN, Clinical Supervisor Risk Adjustment at Neighborhood Health Plan of Rhode Island
  • Kaitlyn Daigle
  • ALLIANCE MEMBER
  • Medical Auditor at Health New England
  • Crystal Djordjevic
  • ALLIANCE MEMBER
  • Risk Adjustment Education Specialist 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
  • Jessica Dupont
  • ALLIANCE MEMBER
  • Vice President of Government Programs at Alliant Health Plans
  • Mery Escoto
  • ALLIANCE MEMBER
  • Risk adjustment coding specialist at Neighborhood Health Plan of Rhode Island
  • 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)
  • Sarena Fritch
  • ALLIANCE MEMBER
  • Manager of Business Operations & Claims at Physicians Health Plan
  • Nicole Fultz
  • ALLIANCE MEMBER
  • Director, CX and Communications at Health Plan Alliance
  • Lisa Garrett
  • ALLIANCE MEMBER
  • Risk Adjustment Manager at Sentara Health Plans (Optima)
  • Mary Glasgow
  • ALLIANCE MEMBER
  • Senior Corporate Compliance Auditor at Physicians Health Plan
  • Trissi Gray
  • ALLIANCE MEMBER
  • Director of Compliance, SWHR at Southwestern Health Resources
  • Sara Hansen
  • ALLIANCE MEMBER
  • Senior Director, Population Health & Clinical Operations at Avera Health Plans
  • Amber Harris
  • ALLIANCE MEMBER
  • Director Risk Adjustment at MediGold
  • Brendan Hodges
  • ALLIANCE MEMBER
  • President/CEO at HealthTeam Advantage
  • Rhonda Holt
  • ALLIANCE MEMBER
  • Project Specialist at CommunityCare
  • 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
  • Rita Johnson
  • ALLIANCE MEMBER
  • Coding Compliance Specialist / Educator 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
  • Patricia Karam
  • ALLIANCE MEMBER
  • Risk Adjustment Specialist at Community Health Plan of Washington
  • Shannon Kast
  • ALLIANCE MEMBER
  • PIU Analyst at Prominence Health Plan
  • 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
  • Adam Letherby
  • ALLIANCE MEMBER
  • Quality CHA Supervisor at Health First Health Plans
  • Tammy Little
  • ALLIANCE MEMBER
  • Risk Adjustment Team Coordinator at Sentara Health Plans (Optima)
  • 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
  • Gladys Marquez
  • ALLIANCE MEMBER
  • HEDIS Program Manager at Presbyterian Health Plan
  • 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
  • Jaquelynn Mokry
  • ALLIANCE MEMBER
  • Physician Compliance Auditor 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)
  • Jaylene Olson
  • ALLIANCE MEMBER
  • Senior Risk Adjustment Analyst at Health Alliance Medical Plans
  • Wendy Owen
  • ALLIANCE MEMBER
  • Sr. Fraud & Abuse Investigator at Sentara Health Plans (Optima)
  • Kari Pace
  • ALLIANCE MEMBER
  • Clinical Documentation Improvement Nurse-Risk Adjustment/Quality Management at Medical Associates Health Plans
  • Jennifer Peloquin
  • ALLIANCE MEMBER
  • Quality Improvement Specialist at Health New England
  • Jana Pennington
  • ALLIANCE MEMBER
  • Risk Adjustment Analytics Manager-Coding at Saint Luke's Health System
  • 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
  • Lisa Reyes
  • ALLIANCE MEMBER
  • Supervisor of HCC Coding at CHRISTUS 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
  • Robynn Roy
  • ALLIANCE MEMBER
  • Quality and Risk Adjustment Specialist at Avera Health Plans
  • 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
  • Barb Smith
  • ALLIANCE MEMBER
  • Clinical Review Coder - Avera Health at Avera Health Plans
  • Caryn Smith
  • ALLIANCE MEMBER
  • Director of Risk Adjustment at HealthTeam Advantage
  • 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
  • Diana Vasquez
  • ALLIANCE MEMBER
  • Senior Risk Adjustment Coding Specialist at Neighborhood Health Plan of Rhode Island
  • 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
  • Mandy Whitley
  • ALLIANCE MEMBER
  • Point of Service Coding Analyst at Health Alliance Medical Plans
  • Kathleen Witkop
  • ALLIANCE MEMBER
  • Medical Record Review Specialist at Health New England
  • Amanda Wozniak
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at Paramount Health Care
  • William Yee
  • ALLIANCE MEMBER
  • Assistant Compliance Counsel at Central Health Plan of California
  • Julie Yohe
  • ALLIANCE MEMBER
  • Coder at Geisinger Health Plan
  • Jenna Zimmerman
  • ALLIANCE MEMBER
  • Coding Program Trainer at Geisinger Health Plan