Let’s Talk About Risk On-Demand
Join us on-demand for this event recorded 11/11/2020. The
presentation is an introduction to risk adjustment and HCC coding for coders,
physicians and other healthcare professionals.
Approved by the AAPC for 2 CEUs - only $14.99
https://erm365.org/courses/lets-talk-about-risk-on-demand/
Review the Agenda:
Section 1 – Risk Adjustment Basics
This section will cover basic concepts and terminology in the CMS-HCC Model of Risk Adjustment.
- What is an HCC?
- Why are HCCs important?
- How is a risk score calculated?
- What is the value of an HCC?
- What are the most common HCCs?
Section 2 – Rules of the Road
This section will cover ICD-10 Guidelines and other “rules” related to clinical documentation and coding within the CMS-HCC Model of Risk Adjustment.
- When should a diagnosis be coded?
- How often can a diagnosis be coded
- What clinical documentation is needed to support the diagnosis?
- Is it okay to code for resolved conditions?
- Would it be acceptable to code a diagnosis documented as “suspected” in an outpatient setting such as a provider’s office?
Section 3 – HCC Coding
This section will review the most common HCC’s for Medicare enrollees based on MedPAC data.
- What are the twenty most common HCC categories for Medicare enrollees?
- What are the most common ICD-10 codes included in each category?
- How can clinical documentation impact code selection?
- What are common errors leading to inaccurate risk scores?
Section 4 – Tips for Success
This section will cover simple tips that will make a big impact. At the end of this lesson you will be able to work smarter not harder.
- What should be included in the problem list?
- Why does clinical documentation need to clarify active vs. history of?
- What small changes can you start making today that will have a big impact on the accuracy of your risk scores?
Who Should Attend?
- Coders, Billers, and Auditors
- Physicians, NPs and PAs
- Medical Assistants and Front Office
- Purchase includes a copy of the presentation and other resources.
- 180 days of access to course and materials.
On Demand Course Instructions for CEUs:
- Login or Register for a FREE account with ERM365.
- Purchase the course.
- Click on “My Dashboard” and then “My Courses” to access.
- Download the handouts and other resources.
- Watch the video.
- Pass the post quiz.
- Download CEU Certificate.