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.
Featured Toolkits
Vendor Accountability Initiative | 2022 Poster Project | COVID-19 | DE&I | Healthcare Policy | Interoperability | No Surprises Act | Pharmacy | Leadership Org Charts | MCOL Membership & Resources | Medicare Advantage | Member Experience | Risk Adjustment/Coding | SDoH | Star Ratings
Braindate Everyday Tips and Tricks
Braindate shares tips and tricks on how to network more effectively with your peers.
Presentation: How to Have Impactful Conversations - Workshop with Braindate
Braindate presents on how to have impactful conversations beyond networking on the new Braindate Everyday platform.
Recording: Coding Work Group December 2022
Paramount presents a selection of medical charts with the group for feedback on risk adjustment coding best practices.
Coding Work Group December 2022 Chat Transcript
Paramount presents a selection of medical charts with the group for feedback on risk adjustment coding best practices.
Coding Work Group December 2022 Pre-work results
Paramount presents a selection of medical charts with the group for feedback on risk adjustment coding best practices.
Coding Work Group December 2022 Case Studies Packet
Paramount presents a selection of medical charts with the group for feedback on risk adjustment coding best practices.
Recording: Risk Adjustment Roundtable - November 2022
Health Plan Alliance leads a discussion with members regarding various risk adjustment topics.
Coding Work Group October 2022 Pre-work results
MediGold presents a selection of medical charts with the group for feedback on risk adjustment coding best practices.
Recording: Coding Work Group October 2022
MediGold presents a selection of medical charts with the group for feedback on risk adjustment coding best practices.
Coding Work Group October 2022 Case Studies Packet
MediGold presents a selection of medical charts with the group for feedback on risk adjustment coding best practices.
Recording: Coding Work Group: August 2022
Presbyterian Health Plan presents a selection of medical charts with the group for feedback on risk adjustment coding best practices.
Coding Work Group August 2022 Case Studies Pre-work Results
Presbyterian Health Plan presents a selection of medical charts with the group for feedback on risk adjustment coding best practices.
Recording: Risk Adjustment Roundtable- August 2022
The Alliance hosts the Risk Adjustment Peer Network for a roundtable discussion surrounding Home Assessments with Rachel Musacchio, the Director of Revenue Operations with Health First Health Plans in Florida.
Coding Work Group August 2022 Case Studies Packet
Presbyterian Health Plan presents a selection of medical charts with the group for feedback on risk adjustment coding best practices.
Recording: Coding Work Group - June 2022
Providence Health Plan facilitates the June 2022 Coding Work Group and shares a selection of medical charts with the group for feedback on risk adjustment coding best practices.
Coding Work Group June 2022 Case Studies
Providence Health Plan shares 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.
Recording: Risk Adjustment Roundtable May 2022
Connect with your Alliance risk adjustment peers to discuss your top challenges, share your expertise and build your network.
Recording: Coding Work Group: April 2022
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. 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.
Coding Clinic 2016 - Behavioral and Neurodevelopmental Disorders
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. 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.
Coding Clinic 2020 - Partial Glasgow Coma Score
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. 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.