Risk Adjustment/Coding Toolkit
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Recording: Coding Chronic Conditions Roundtable Call
There appear to be different interpretations of the Coding Guidelines that govern the capturing and billing chronic conditions during an annual exam or annual wellness exam. This call is being scheduled as a follow-up to the February 16, 2022 discussion forum post to continue the conversation: https://www.healthplanalliance.org/DiscussionForums/DiscussionDetail.asp?threadid=11302
MediGold Risk Adjustment Job Descriptions
Shared at the Risk Adjustment Fly-In, February 8-9, 2022.
MediGold Risk Adjustment Org Chart
Shared at the Risk Adjustment Fly-In, February 8-9, 2022.
Recording: Coding Work Group 2021, Session 6: 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.
Pre-Work Packet: Coding Work Group 2021, Session 6: 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.
Recording: Changes to ICD-10-CM Codes and Guidelines Effective 10-1-2021
Review the most current updates regarding ICD-10-CM Official Coding Guidelines for Coding and Reporting FY 2022 that go into effect on Oct. 1, 2021.
Presentation: Changes to ICD-10-CM Codes and Guidelines Effective 10-1-2021
Review the most current updates regarding ICD-10-CM Official Coding Guidelines for Coding and Reporting FY 2022 that go into effect on Oct. 1, 2021.
Recording: Coding Work Group 2021, Session 5: SelectHealth
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.
Pre-Work Packet: Coding Work Group 2021, Session 5: SelectHealth
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.
Presentation: Simplify your medical record processing
Join your Alliance peers for a deeper discussion on this hot discussion forum topic.
Baylor Scott & White Health Presentation: Coding Clinic, RADV Audit and CMS/HHS Feedback
Connect with your Alliance risk adjustment peers to discuss your top challenges, share your expertise and build your network.
IU Health Plans Presentation: Show and Tell - Coding Clinic, RADV Audit and CMS/HHS Feedback
Connect with your Alliance risk adjustment peers to discuss your top challenges, share your expertise and build your network.
SelectHealth Presentation: Show and Tell - Coding Clinic, RADV Audit and CMS/HHS Feedback
Connect with your Alliance risk adjustment peers to discuss your top challenges, share your expertise and build your network.
Recording: Show and Tell - Coding Clinic, RADV Audit and CMS/HHS Feedback
Connect with your Alliance risk adjustment peers to discuss your top challenges, share your expertise and build your network.
Article: You’re asking too much of your EHR
MedeAnaltyics shares how true healthcare analytics that pulls data from an EHR can help health plans.
Presentation: Risk Adjustment KPI Dashboards
Dean Ratzlaff, an actuary at Sentara Health Plans (Optima), is back for a deeper dive into the key performance indicator dashboards he and his team use. During our last session, Dean focused on dashboards and data used outside the department (like executives). During this session, Dean and his colleagues share the dashboards they use within the department during and after an intervention campaign and those used for provider engagement.
Recording: Risk Adjustment KPI Dashboards
Dean Ratzlaff, an actuary at Sentara Health Plans (Optima), is back for a deeper dive into the key performance indicator dashboards he and his team use. During our last session, Dean focused on dashboards and data used outside the department (like executives). During this session, Dean and his colleagues share the dashboards they use within the department during and after an intervention campaign and those used for provider engagement.
Recording: Risk Adjustment Roundtable: July 2021
Connect with your Alliance risk adjustment peers to discuss your top challenges, share your expertise and build your network.
Recording: Accreditation - The Pros and Cons of NCQA, URAC, COA
Join your Alliance peers for a deeper dive into this hot discussion forum topic that started May 11, 2021.
Recording: Coding Work Group 2021, Session 3: IU 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.