2022 HCC Risk Adjustment Tools for Physicians and Coders

 

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 - https://erm.ecwid.com/

ORDER TODAY - THESE WILL GO FAST!!

CMS-HCC Coding Cards

https://erm.ecwid.com/2022-CMS-HCC-Coding-Cards-12-Pack-p432478501

You will love these 5x7 HCC Coding Cards!

Updated for 2022 - Version 24

This 14 pack is perfect your next risk adjustment project.

1.Diabetes:

•ICD-10 Coding Tips (side 1) includes RAF

•Clinical Documentation Tips (side 2) includes RAF

2.COPD:

•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 2) includes RAF

4.Major Depressive Disorder:

•ICD-10 Coding Tips (side 1) includes 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

7. Infectious Disease:

•ICD-10 CDI / Coding Tips for HIV and Sepsis (side 1) includes RAF

•ICD-10 Coding Tips for Liver Disease (side 2) includes RAF

8. Heart Failure:

•ICD-10 Coding Tips (side 1) includes RAF

•Clinical Documentation Tips (side 2) includes RAF

9. Chronic Kidney Disease:

•ICD-10 Coding Tips (side 1) includes RAF

•Clinical Documentation Tips (side 2) includes RAF

10. Seizures and Neurological Disorders:

•ICD-10 Coding Tips (side 1) includes RAF

•Clinical Documentation Tips (side 2) includes RAF

11. Diseases of the Digestive System:

•ICD-10 ICD-10 Coding Tips (side 1) includes RAF

•ICD-10 ICD-10 Coding Tips (side 2) includes RAF

12. Primary and Secondary Neoplasms:

•ICD-10 ICD-10 Coding Tips (side 1) includes RAF

•ICD-10 ICD-10 Coding Tips (side 2) includes RAF

13. Coagulation Defects:

•ICD-10 Coding Tips (side 1) includes RAF

•Clinical Documentation Tips (side 2) includes RAF

14. Disorders of Immunity

•ICD-10 Coding Tips (side 1) includes RAF

•Clinical Documentation Tips (side 2) includes RAF

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

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

Order for your team today!

CMS-HCC Quick Coders

https://erm.ecwid.com/2022-CMS-HCC-Quick-Coder-p432456253

Completely updated for 2022 - Version 24

This 42 page guide contains everything you need to calculate a risk score in one place!

Includes of the most common HCC codes in the Medicare (CMS-HCC) model.

This guide was designed for providers, with codes sorted alphabetically rather than by code.

Order one for the entire team today!

Includes:

• List of ICD-10 Guidelines
• 270 ICD-10 Codes (Rx and HCCs)
• Quality CPT II codes for MIPS / MACRA
• All CMS-HCC Risk Factors (includes demographic, disease and interaction)
• Trump Chart

Learn more / order here - https://erm.ecwid.com/

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

https://erm365.org/courses/advanced-risk-management-and-hcc-coding-for-vbp-on-demand/

KEY TOPICS INCLUDE:

• 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. 

WHO SHOULD ATTEND?

• 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 https://erm365.org/events/

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

https://erm365.org/courses/creating-value-in-health-care/

View more courses on ERM365

Take a Deep Dive Into Substance Use Disorders

Approved by the AAPC for 4 hours of CEU:

This program meets AAPC guidelines for 4.0 CEUs. Can be split between Core A, CRC, CEMC, CHONC, CANPC, CDEO, CPCO and CPMA after successful completion of post-test for continuing education units.

Overview:

When is it appropriate to code for opioid dependence versus long time use?

What documentation is needed to support a diagnosis of alcoholism in remission? 

Should I code sedative dependence for all of my patients taking a sleeping medication?

Is it appropriate to code cannabis abuse when the medical record states recreational marijuana use? 

These are some of the most frequently asked questions by physicians and coders. 

This course takes a deep dive into the classification, screening, coding and documentation of the four most frequently coded substances: alcohol, cannabis, opioids and sedatives and substance-induced disorders. 

Register now - Course is FREE until August 1, 2020


Key Objectives:

Substance Use Disorders

• Introduction
• Brief history of Substance Use
• Important Definitions

Classification of Substance Use Disorders

• Introduction to DSM
• Brief History of the DSM
• Drugs of Abuse
• Substance-Induced Disorders

Screening, Brief Intervention and Referral for Treatment

• SBIRT
• AUDIT
• CAGE
• CAGE-AID
• DSAT-10
• SMAST-G

Coding for Substance Use Disorders

• AHA Coding Clinic
• ICD-10 Coding for Substance Use Disorders
• Alcohol Use Disorders
• Cannabis Use Disorders
• Opioid Use Disorders
• Sedative, Hypnotic, or Anxiolytic Use Disorders

Coding for Substance-Induced Disorders

• Substance-Induced Anxiety Disorders
• Substance-Induced Bipolar and Related Disorders
• Substance-Induced Depressive Disorders
• Substance-Induced Neurocognitive Disorders
• Substance-Induced Sexual Dysfunctions
• Substance-Induced Sleep Disorders

Clinical Documentation Improvement for Substance Use Disorders

• Ten Tips for Success
• Clinical Documentation Examples

Quality Measures for Substance Use Disorders

• 2020 HEDIS Codes
• 2020 CMS QM

View the course on ERM365

Advanced Risk Adjustment for Value Based Payments

Are you looking for the best education available in risk adjustment, value-based payments and/or CDI?

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 any 2020 Workshop!

Take advantage of Early Bird pricing and Save $100!

Overview:

• Vast changes are coming to the way we purchase healthcare.
• What should your team be doing now to be successful in the world of value-based payments? 
• How do HCCs impact benchmarks and quality scores?
• Review CMS-HCC Model V24 for risk adjustment in 2020 and NEW HCCs that have been added to the model. 
• Discuss the importance of managing HCCs year over year. What resources are available from CMS to help? 
• Take a deep dive into the 20 most common HCCs per Medpac data. 
• Common GAPS in claims and encounter data that lead to inaccurate risk scores. 

Download the Agenda Here

Who Should Attend?

-Providers - MDs, DOs, PAs, and NPs

-Medical Directors - Medicare Advantage, ACOs, CPC+ and Medicaid

-Hospitals and Academic Medical Centers

-Medical Coders, Billers and CDI Specialists

-Executive Leaders, Administrators, Directors and Managers

-MSO and IPA Teams

-Rural Health Centers, FQHCs and Community Health Centers

-Health Alliance Members and Medical Society Members

-Medicare, Medicare Advantage, Medicaid and Commercial Plans

  

Each Attendee will Receive ($130):

 - Color copy of the presentation

 - 2020 CMS-HCC Quick Coder

 - Laminated HCC and CDI Tools

 - CME from AAFP and AMA

 - CEU from AAPC

To REGISTER for a WORKSHOP

 - Click here to register for Orlando on 10/22/2020

 - Click here to register for Ft. Lauderdale on 10/28/2020

To SPONSOR an EVENT

Please email Kameron Gifford

Early Bird Pricing and Group Discounts

Register NOW to save $100 with Early Bird Pricing!

Bring the WHOLE TEAM!

 Register 3 and save 10% on your order!

 Register 4 and use the code TEAM4 to save 20% on your order!

Top 5 Reasons to Attend

  Have you registered for a workshop in 2020? 

   If not, here are the top 5 reasons to attend:

      #5 - I am a coder who needs CEUs from the AAPC

     #4 - I am a physician who needs CMEs from the AMA and/or AAFP

      

     #3 - I want to learn how HCCs impact value-based contracts.

      

     #2 - I want to learn more about HCC coding and clinical documentation. 

     #1 - I am looking for the best HCC tools available.

     Download the agenda to learn more. 

        OR... register your team using the links below. 

Advanced Risk Management - Improve the accuracy of your risk scores!

 Are you looking for the best education available in risk adjustment, value-based payments and/or CDI?

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 any 2020 Workshop!

Take advantage of Early Bird pricing and Save $100!

Overview:

Vast changes are coming to risk adjustment in 2020. What should your team be doing now to prepare? What are the potential impacts to revenue?

Discuss the importance of managing HCCs year over year. What resources are available from CMS to help? 

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 NEW HCCs for 2020 and see what documentation is needed to validate payment.

Learn how to leverage frontline staff to be successful in the world of risk adjustment and value-based payments.

Download the Agenda Here

Who Should Attend?

-Providers - MDs, DOs, PAs, and NPs

-Medical Directors - Medicare Advantage, ACOs, CPC+ and Medicaid

-Hospitals and Academic Medical Centers

-Medical Coders, Billers and CDI Specialists

-Executive Leaders, Administrators, Directors and Managers

-MSO and IPA Teams

-Rural Health Centers, FQHCs and Community Health Centers

-Health Alliance Members and Medical Society Members

-Medicare, Medicare Advantage, Medicaid and Commercial Plans

  

REGISTER BELOW:

Jacksonville on 2/13/2020

Tampa on 3/12/2020

Orlando on 5/9/2020

Each Attendee will Receive ($130):

 - Color copy of the presentation

 - 2020 CMS-HCC Quick Coder

 - Laminated HCC and CDI Tools

 - CME from AAFP and AMA

 - CEU from AAPC

To SPONSOR an EVENT

Please email Kameron Gifford

Early Bird Pricing and Group Discounts

Register NOW to save $100 with Early Bird Pricing!

Bring the WHOLE TEAM!
 Register 3 and save 10% on your order!
 Register 4 and use the code TEAM4 to save 20% on your order!