Showing posts with label CMS HCC. Show all posts
Showing posts with label CMS HCC. Show all posts

Saturday, February 13, 2021

Looking for an MRA Coding Tool?

2021 CMS-HCC Coding Tool Example


We have received several requests from physicians, coders and administrators for an “MRA Cheat Sheet”.

Many have asked for something that is a single page or similar in format to a “charge slip”. 

So, I wanted to share a simple example of one that could be used for primary care providers. 





Visit www.ERM365.org for more risk adjustment tools and information!


Sunday, January 24, 2021

Advanced Risk Adjustment and HCC Coding for Value Based Payments



Due to extremely high demand, new dates have been added for the 2021 workshops!


KEY TOPICS INCLUDE:

Vast changes are coming to Medicare risk adjustment in 2022 and beyond. Is your team ready?

What are the potential impacts to your revenue without RAPS?

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


EACH ATTENDEE WILL RECEIVE:

  • Color Presentation
  • CME / CEU / CE Certificate (Approved by the AAPC, AMA, AAFP and CCMC)
  • HCC Coding Tools Download
  • 25% off any HCC Tools ordered within 14 days of the event.


HOW DO I REGISTER?

Register here for Friday, February 19, 2021

Register here for Friday, March 26, 2021

Register here for Friday, April 23, 2021

Register here for Friday, May 28, 2021


WHAT IS THE COST?

Tickets - $49  

Bring the Whole Team and SAVE 10% on 3 or more tickets!!


WHERE CAN I LEARN MORE?

Visit ERM365 (www.erm365.org/events) to learn more.

Download the agenda / flyer 






Tuesday, August 18, 2020

Save 30% on all 2020 HCC Tools

 



USE this code: FLASH to save 30% on all HCC Coding Tools!!


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!

Visit the store to take advantage of the FLASH Sale

 - Remember to use the code "FLASH" to save 30%



Do you like FREE stuff? Register now  so you don't miss out. 

Read the latest post: 6 Reasons Your Risk are Inaccurate

Download the 2021 ICD-10 Updates 

Download the 2021 CMS-HCC Mappings and Software

Learn and earn FREE CEUs from the AAPC


ERM Consulting has developed the industries best training for players on the frontline. Approved by AMA, AAFP and AAPC.




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





Thursday, December 21, 2017

Give the Gift of Knowledge this Holiday Season!



    Register your team today - Orlando is SOLD OUT!


   Join Us for a Day of Risk Adjustment! 

  • Review the different risk adjustment models and their impact on medical practice management. 
  • 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 clinical documentation. Review real examples to see what validates, what doesn’t, and why. Tips for engaging physicians.
  • Learn how to leverage frontline staff to be successful in the world of risk adjustment and value based payments.  


     Each Attendee Will Receive:     ($130+ value)

  • Color Presentation
  • Clinical Documentation and Coding Guide
  • HCC Quick Coder
  • Laminated Coding and Documentation Tools


     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


      Thursday January 25th 2018
      10:00 AM - 4:00 PM

        Symphony Presentation Center 
        2875 S Ocean Blvd, Suite 200, Palm Beach, FL 33480



       
      Thursday, April 5th, 2018
      10:00 AM - 4:00 PM
         
        Hilton Garden Inn Tampa / Riverview
        4328 Garden Vista Dr., Riverview, FL 33578

       


    View additional details and download the complete agenda here

     
      https://www.ermconsultinginc.com/upcoming-events/