Risk Adjustment/Coding Toolkit
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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.
Coding Clinic 2019- Crohns Disease
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 - Coding Mental Conditions as Additional DX's
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 2021 - Hypercoaguable State
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 2021-Reporting Additional Diagnoses
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.
2021 ICD 10CM Official Guidelines for Coding Reporting
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 Clinics
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.
HRADV 2020 Benefit Year Protocols
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.
April 2022 Coding Work Group Case Studies
*UPDATED April 13, 2022* Health Alliance Medical Plans shares recently coded charts and questions to facilitate discussion on risk adjustment coding best practices during the April 21, 2022 Coding Work Group Session.