Risk Adjustment/Coding Toolkit

NOTE: You must login to your Alliance account to access the articles and resources below. Some content may only be accessible to Alliance members.

 

1/15/2021

Agenda: Risk Adjustment & Quality Micro Summit 2021
As part of the Risk Adjustment & Quality Learning Collaborative, Alliance members dig into real-life examples of how they are meeting clinical integration and risk adjustment challenges during the pandemic and share plans for strategic initiatives poised to launch in a post-COVID world.

12/16/2020

Recording: Natural Language Processing: Impact on Coding_Change Healthcare
Change Healthcare explains the impact of the Natural Language Processing (NLP) on code operations, such as code assignment, process, productivity, compliance and financial impact.

12/9/2020

Presentation: Natural Language Processing_Change Healthcare
Change Healthcare explains the impact of the Natural Language Processing (NLP) on code operations, such as code assignment, process, productivity, compliance and financial impact.

11/19/2020

Recording: Coding Work Group Session 6: MediGold
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.

11/19/2020

Chat Transcript: Coding Work Group 2020, Session 6: MediGold
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.

11/19/2020

Presentation: The New Medicare HCC Model V24 (Earn 1 CEU)
As part of the Risk Adjustment & Quality Learning Collaborative, Change Healthcare discusses the new HCC model, version 24, as updated by CMS.

11/19/2020

Recording: The New Medicare HCC Model V24 (Earn 1 CEU)
As part of the Risk Adjustment & Quality Learning Collaborative, Change Healthcare discusses the new HCC model, version 24, as updated by CMS.

11/3/2020

Recording: Risk Adjustment Round Table 2020, Session 6: Using AWS for Edge Server Submissions
Wesley Sanders, Vice President, Finance and Analytics at Alliant Health Plans shares step-by-step instructions, best practices, and detials on his experience working with the CMS EDGE support team while moving your Edge Server submissions in-house.

10/28/2020

Case Studies: Coding Work Group 2020, Session 6 - MediGold
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.

10/20/2020

Recording: Changes to ICD-1-CM Codes & Guidelines
Change Healthcare team provides the most current (2021) updates regarding ICD-10-CM Official Coding Guidelines for Coding and Reporting FY 2021. Attendees review ICD-10-CM updates from the Centers for Medicare & Medicaid Services (CMS) effective October 1, 2020.

10/5/2020

Chat Transcript: Coding Work Group 2020, Session 5: Health New England
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.

10/5/2020

Recording: Coding Work Group 2020, Session 5: Health New England
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.

9/22/2020

Recording: Risk Adjustment Round Table 2020, Session 5: Shifting strategies during COVID-19
COVID-19 has completely disrupted our 2020 risk adjustment strategies. How have health plans pivoted? What does your in-home health assessment program look like now? What new things are you trying to ensure you capture a current picture of your members' health for 2020? Join us to share your plan's experience and hear from others.

9/10/2020

Case Studies: Coding Work Group October 2020, Health New England
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.

8/7/2020

Recording: Coding Work Group 2020, Session 4: CHRISTUS Health Plan
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.

8/6/2020

Pre-Survey Results: Coding Work Group 2020, Session 4: CHRISTUS Health Plan
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.

8/6/2020

Chat Transcript: Coding Work Group 2020, Session 4: CHRISTUS Health Plan
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.

7/13/2020

Recording: Coding Work Group 2020, Session 3: Quartz Health Solutions
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.

7/13/2020

Chat Transcript: Coding Work Group 2020, Session 3: Quartz Health Solutions
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.

6/17/2020

Quartz Health_CodingWorkGroup_July2020
Quartz Health shares recently coded charts and questions to facilitate discussion on risk adjustment coding best practices during the July 9, 2020 Coding Work Group Session.