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.

 

11/20/2024

Coding Workgroup Case Studies Packet December 2024
Collaborate with your Alliance peers on risk adjustment coding best practices. Capital District Physicians' Health Plan shares a collection of recently coded medical charts to discuss the results as a group and share best practices.

10/30/2024

Recording: Coding Workgroup October 2024
The Alliance Coding Workgroup 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. Join Suzanne Paul and Kathleen Dress with Geisinger and your Coding Workgroup peers to review the selected case studies and discuss how to code them.

10/29/2024

Coding Work Group Session 4 Pre-Survey Results
Explore the pre-survey results for session 4 facilitated by Geisinger Health Plan.

10/9/2024

Coding Workgroup Case Studies Packet October 2024
Collaborate with your Alliance peers on risk adjustment coding best practices. Geisinger shares a collection of recently coded medical charts to discuss the results as a group and share best practices.

8/21/2024

Recording: Coding Work Group: August 2024
The Alliance Coding Workgroup 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. Join Shanice Johnson with Samaritan and your Coding Workgroup peers to review the selected case studies and discuss how to code them.

8/20/2024

Coding Work Group Session 3 Pre-Survey Results
Explore the pre-survey results for session 3 facilitated by Samaritan Health Plans.

7/31/2024

Coding Workgroup Case Studies Packet August 2024
Collaborate with your Alliance peers on risk adjustment coding best practices. Samaritan shares a collection of recently coded medical charts to discuss the results as a group and share best practices.

7/10/2024

Coding Work Group Session 2 Pre-Survey Results
Explore the pre-survey results for session 2 facilitated by Quartz Health Solutions.

7/10/2024

Recording: Coding Work Group: July 2024
The Alliance Coding Workgroup 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. Join Karen Jensen and Colleen Degenhardt with Quartz and your Coding Workgroup peers to review the selected case studies and discuss how to code them.

4/30/2024

Coding Workgroup Case Studies Packet July 2024
Collaborate with your Alliance peers on risk adjustment coding best practices. Quartz shares a collection of recently coded medical charts to discuss the results as a group and share best practices.

3/21/2024

Recording: Coding Workgroup March 2024
The Alliance Coding Workgroup 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. Join Tammy Allen, Katherine Weinstein with CDPHP and your Coding Workgroup peers to review the selected case studies and discuss on how to code them.

3/5/2024

Coding Workgroup Case Studies Packet March 2024
Collaborate with your Alliance peers on risk adjustment coding best practices. CDPHP shares a collection of recently coded medical charts to discuss the results as a group and share best practices.

11/30/2023

Coding Work Group December 2023 Case Studies Packet
The Alliance Coding Workgroup 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. Medical Associates Health Plans will share a selection of medical charts with the group for feedback on risk adjustment coding best practices.

10/30/2023

Recording: Coding Work Group October 2023
The Alliance Coding Workgroup 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. MediGold shares a selection of medical charts with the group for feedback on risk adjustment coding best practices.

10/6/2023

Coding Work Group October 2023 Case Studies Packet
The Alliance Coding Workgroup 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. MediGold shares a selection of medical charts with the group for feedback on risk adjustment coding best practices.

8/24/2023

Recording: Coding Workgroup August 2023
The Alliance Coding Workgroup 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. Samaritan Health Plans shares a selection of medical charts with the group for feedback on risk adjustment coding best practices.

8/4/2023

Coding Work Group August 2023 Case Studies Packet
The Alliance Coding Workgroup 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. Samaritan Health Plans shares a selection of medical charts with the group for feedback on risk adjustment coding best practices.

6/30/2023

Recording: Coding Work Group June 2023
Health First Health Plans shares a selection of medical charts with the group for feedback on risk adjustment coding best practices.

6/14/2023

Coding Work Group June 2023 Case Studies Packet
The Alliance Coding Workgroup 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. Health First Health Plans shares a selection of medical charts with the group for feedback on risk adjustment coding best practices.

4/19/2023

Coding Workgroup April 2023 Pre-work results
Baylor Scott & White shares a selection of medical charts with the group for feedback on risk adjustment coding best practices. This is the pre-work results to the case studies packet.