Risk Adjustment/Coding Toolkit

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.

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.

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.

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.

Recording: Coding Work Group 2020, Session 2: Presbyterian Health Plan
Alliance peers 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.

May 2020 Coding Work Group Case Studies
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.

Screening Questionnaire for Substance DSM-V Criteria
From CHRISTUS Health, the first page is an FYI for the physician and the second page is for the member to fill out (similar to the PHQ9 for MDD). All substance use disorder criteria is the same except for Caffeine and Opioids (as prescribed by a clinician).

Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, DSM-5
Before each disorder name, ICD-9-CM codes are provided, followed by ICD-IO-CM codes in parentheses. Blank lines indicate that either the ICD-9-CM or the ICD-IO-CM code is not applicable. For some disorders, the code can be indicated only according to the subtype or specifier.

Recording: Coding Work Group 2020, Session 1: Providence Health Plan
Collaborate with your Alliance peers on risk adjustment coding best practices. During this session, we'll review five to six guidelines that give coders trouble (like coding BMI/obesity as an example) and invite participants to ask questions and share their best practices.

Chat Transcript: Coding Work Group 2020, Session 1: Providence Health Plan
Alliance members chat during the coding work group call. Members share on risk adjustment coding best practices. Five to six guidelines are reviewed that give coders trouble (like coding BMI/obesity as an example).

April 2020 Coding Work Group Packet
Collaborate with your Alliance peers on risk adjustment coding best practices. During this session, we'll review five to six guidelines that give coders trouble (like coding BMI/obesity as an example) and invite participants to ask questions and share their best practices.

Recording: Risk Adjustment Round Table 2020, Session 1: Data Submission Best Practices
Join your Alliance risk adjustment peer group for a value call and discussion led by Alliance member Sentara Health Plans (Optima), Alliant Health Plans and MediGold. Our first call of 2020 will include robust discussion on EDGE, RAPS and EDPS data submission best practices. Visit the event page to see the list of topics for discussion.

Chat log from October 2019 Coding Work Group
Participant chat log from October 2019 Coding Work Group session hosted by Health Alliance Plan.

Recording: Alliance Coding Work Group, October 2019 - Health Alliance Plan
Alliance peers collaborate 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.

October 2019 Coding Work Group Case Studies
Health Alliance Plan shares recently coded charts and questions to facilitate discussion on risk adjustment coding best practices during the October 10, 2019 Coding Work Group Session.

Coding cancer: What does TNM mean?
The American Joint Committee on Cancer (AJCC) and the International Union for Cancer Control (UICC) maintain the TNM classification system as a tool for doctors to stage different types of cancer based on certain standards. In the TNM system, each cancer is assigned a letter or number to describe the tumor, node, and metastases.

August 2019 Coding Work Group Case Studies
Medical Associates Health Plans shares recently coded charts and questions to facilitate discussion on risk adjustment coding best practices during the August 8, 2019 Coding Work Group Session.

Chat log from June 2019 Coding Work Group
Participant chat log from June 2019 Coding Work Group session hosted by SelectHealth.

June 2019 Coding Work Group Case Studies
SelectHealth shares recently coded charts and questions to facilitate discussion on risk adjustment coding best practices during the June 6, 2019 Coding Work Group Session.

Telehealth and Communication Technology Based Services: CY 2019 Physician Fee Schedule
Presented by CMS at the 2019 American Telemedicine Association Annual Conference