Thursday, April 26, 2018

Advanced Risk Adjustment and HCC Coding

Are you looking for the best education available in risk adjustment?

Good News - You have found it!

Join us for a day of risk adjustment, catch up with colleagues over lunch, and get the best tools in the industry for FREE!

Do you need CMEs or CEUs? We have that too!

All Workshops are approved by the American Medical Association, American Academy of Family Practice and the American Academy of Professional Coders.

Register your team ( 3 or more) today to save 10% on Tampa and Ft. Lauderdale.

Take advantage of Early Bird pricing for Fall Workshops and Save $100!

Improve the Accuracy of your Risk Scores...

What is changing for risk adjustment in 2019? New ICD-10 codes and HCC categories are coming. What should your team be doing now to prepare?
Review the different risk adjustment models and their impact on medical practice management for 2019 and beyond.
Discuss the impact of shifting from RAPS to EDS. What does this mean for office based claims?
Take a deep dive into HCC Coding and Documentation.
Review real documentation examples to see what validates, what doesn’t, and why. 
Learn how to leverage frontline staff to be successful in the world of risk adjustment and value-based payments.

Who Should Attend?
Medical Coders and Billers
Providers, Managers and Frontline Staff
CDI Specialists
Executive Leaders
ACO, MSO and IPA Teams
Rural Health Centers
Health Alliance Members
Medicare, Medicaid and Commercial Plans

Fort Lauderdale, Florida
1451 W. Cypress Creek Road, Fort Lauderdale, FL, 33309

Wednesday - May 9, 2018
9:30 AM - 3:30 PM

Thursday November 8, 2018
9:20 AM - 3:30 PM
Early Bird Pricing $100

Tampa, Florida
4328 Garden Vista Drive, Riverview, FL 34747

Wednesday - October 24, 2018
10:00 AM - 4:00 PM
Early Bird Pricing $100

Visit for more details

Saturday, April 14, 2018

CMS-HCC ICD-10 and CDI Cards

You will love these 5x7 HCC Coding Cards!

This 6 pack includes all the basics to jump start you risk adjustment project.

ICD-10 Coding Tips (side 1) includes RAF
Clinical Documentation Tips (side 2) includes RAF

ICD-10 Coding Tips (side 1) includes RAF
Clinical Documentation Tips (side 2) includes RAF

3.Heart Failure
ICD-10 Coding Tips (side 1) includes RAF
Clinical Documentation Tips (side 2includes RAF

4.Major Depressive Disorder:
ICD-10 Coding Tips (side 1includes RAF
Clinical Documentation Tips (side 2) includes RAF

5.Malnutrition and Morbid Obesity:
ICD-10 Coding Tips (side 1) includes RAF
Clinical Documentation Tips (side 2) includes RAF

6.Complications with Internal Devices and Dependence
ICD-10 Coding Tips for Complications (side 1) includes RAF
ICD-10 Coding Tips for Dependency(side 2) includes RAF

Post one to your bulletin board, stick one near the EHR or tape it to your workstation!

HCC CodingCards are made to last all year on thick 16 pt cardstock with a gloss finish

Tuesday, April 3, 2018

CMS 2019 Final Call Letter

Announcement of Calendar Year (CY) 2019 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter    April 2, 2018

For payment year 2019, CMS will implement the updated CMS-HCC model without count variables that was provided in Part I of the Advance Notice for comparison.

"This model incorporates the proposed additional Chronic Kidney Disease, mental health, and substance use disorder conditions, updates the data years used to calibrate the model from 2013 diagnoses predicting 2014 cost to 2014 diagnoses predicting 2015 cost, and selects 2014 diagnoses for calibration with the CPT/HCPCS-based methodology that is used to select risk adjustment eligible diagnoses submitted to the encounter data system. "

See New Coefficients Below:

Encounter Data

CMS is also finalizing the proposal to calculate 2019 risk scores by adding 25% of the risk score
calculated using encounter data and FFS diagnoses (with inpatient RAPS data to supplement encounter data) and 75% of the risk score calculated using RAPS and FFS diagnoses.

 Download the entire Call Letter here