Saturday, March 20, 2021

Let's Talk About Risk

 Approved by the AAPC for 2 CEUs  - $5.99 (on SALE until 3/25/2021 - then $14.99)

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
Price: $5.99 SALE until 3/25/2021, then $14.99 
  • Purchase includes a copy of the presentation and other resources. 
  • 180 days of access to course and materials. 


On Demand Course Instructions for CEUs:

  1. Login or Register for a FREE account with ERM365.
  2. Purchase the course.
  3. Click on “My Dashboard” and then “My Courses” to access.
  4. Download the handouts and other resources.
  5. Watch the video.
  6. Pass the post quiz.
  7. Download CEU Certificate. 

Friday, March 19, 2021

Master E/M Coding 2021

E/M Changes Took Effect January 2021

As of January 1, 2021, physicians will select an E/M code based on total time spent on the date of the encounter or medical decision making (MDM)—whichever is most financially advantageous. 

What was the Goal of Revising the E/M Coding for Office Visits?

  • To decrease the administrative burden of documentation and coding
  • To decrease the need for audits, through the addition and expansion of key definitions and guidelines
  • To decrease unnecessary documentation in the medical record that may not be pertinent to the patient’s care
  • To ensure that payment for E/M is resource-based and that there is no direct goal for payment redistribution between specialties

On-Demand Course Agenda

Approved by the AAPC for 3 hours of CEUs - $6.99

Lesson 1 – Introduction

Lesson 2 – 2021 E/M Guidelines and Key Terms
  • Guidelines Common to all E/M Services
  • Services Reported Separately
  • Guidelines for Office or Other Outpatient Services
  • MDM Element Definitions

Lesson 3 – Selecting the Level of E/M Services
  • Instructions
  • New Patient Codes
  • Established Patient Codes

Lesson 4 – Prolonged Services
  • Without Direct Patient Contact
  • Prolonged Clinical Staff Services

Lesson 5 – Frequently Asked Questions

  1. Register for a FREE account on ERM365 (if you do not already have one)
  2. Register for the course 
  3. Complete the lessons
  4. Pass the post test
  5. Print your CEU certificate

View more courses on ERM365

Friday, March 12, 2021

Advanced Risk Management and HCC Coding for Value Based Payments On-Demand


Advanced Risk Management and HCC Coding for Value Based Payments On-Demand

Join us on-demand for this event recorded on 11/13/2020. This course is an advanced course on risk adjustment and HCC coding for coders, physicians and other healthcare professionals.

Approved by the AAFP and AMA for 5 CMEs and the AAPC for 7 hours CEUs – only $49.00


  • Vast changes are coming to Medicare risk adjustment in 2021 and beyond. Is your team ready? What are the potential impacts to your revenue?
  • Discuss the importance of managing HCCs year over year. What resources are available from CMS to help?
  • What are the components of a risk score and how is it calculated? What is the impact of the payment count?
  • Review NEW HCCs and see what documentation is needed to validate payment.
  • Simple steps for optimizing risk adjustment operations and associated revenue.
  • Take a deep dive into the grey areas and red flags of HCC coding and clinical documentation. See what your team should and should not be coding. 


  • Physicians and Other Providers
  • Coders, CDI Specialists and Auditors
  • Nurses, Medical Assistants and Scribes
  • Medical Directors and CIOs
  • MA, Medicaid and Commercial Plans
  • ACO, MSO and IPA Teams
  • Hospitals and Academic Centers
  • Community Health, RHCs and FQHCs
  • Health Alliance Members

PRICE: $49

On Demand Course Instructions for CEUs:

  1. Purchase the course 
  2. Download the handouts
  3. Watch the video
  4. Pass the post test
  5. Download CEU Certificate
  6. Submit post course survey

Would you prefer to attend a LIVE event? We have several upcoming LIVE events - view the schedule and/or register here

Wednesday, March 10, 2021

2021 CMS-HCC Coding Books and Tools


Is Your Team Risk Ready?

Arm Your Team For Combat This Risk Adjustment Season!

Prepare for Victory...

What will define those who claim victory and those who are defeated in the battle towards value based care? Will it be those organizations with the most money, power and seats at the table? Or will it be those who are nimble, flexible and open to change?

I believe it will be both. As victory will not be defined by the owners and head coaches but instead by how the players execute on the field. It will be the game time decisions that matter most. A quarterback who can read the defense and adjust accordingly will provide far greater value to the offense than the most athletic quarterback who misses the blitz every time.

Perhaps Napoleon said it best, "Battles are won by the power of the mind." For in a game of inches, the winners and losers will be defined by those who can execute in the moments that matter most. Prepare your team for victory with information at the point of care!

Learn more / order here -

Creating Value in Health Care


APPROVED by the AAPC for 4 CEUs - $12.99

On-Demand Course Overview:

We insist on value when we buy our lunch, our car, our clothes, and our home. Why not in healthcare?

Since 2015, the US has been transitioning from a fee-for-service payment system to one based on value. This on-demand course will introduce the concepts of value-based care, population health and social determinants of health with highlights from Dr. Hart’s new book, “Value in Health Care”. By active creation of value in healthcare, we can rein in costs while improving quality outcomes and the experience of patients and providers. 

A journey toward sustainable healthcare with improved results.

“When we identify individual-level social risk factors, we can devise interventions to address them specifically or collect data to understand where community-level interventions might improve a population’s health.”

— Jon Hart, MD MBA

Course Instructions 

  1. Register today and complete at your own pace. 
  2. Complete the course. 
  3. Pass the post test. 
  4. Download your certificate. 

Link to Register

View more courses on ERM365