Compliance & Operations Professional Coding & Compliance Initiatives, Inc.
Eligible for: ACMPE: 1|ACHE: 1|CEU: 1|CME(AAPC*): 1|CPE: 1.2|PDC: 1|PDU: 1 *MGMA is now offering our full conference for AAPC credit via our partnership with ACCME. Please see the event Continuing Education page for more information. Traditional | Basic | Comprehension
*Session will be included in the MGMA Summit.
This session will focus on the following key components to succeeding in value-based models moving forward: Why payers are moving toward patient risk-adjusted payment models; how to identify risk adjustment, its impact on payment and the implications to practice operations; the specifics of hierarchical condition category (HCC) codes and their direct link to demographic and diagnosis data; results from chart reviews of common risks and opportunities; and the steps to prepare your providers and revenue cycle team for sustained success in patient risk-adjusted payment models.
Learning Objectives:
Recognize the importance of providers accurately documenting and coding primary and tertiary diagnoses for patient risk scoring.
Review how ICD-10 coding accuracy and specificity impact the mapping to HCCs patient risk scores and ultimately payment.
Identify methods to track the accuracy of their value-based coding, as well as risk and opportunity areas via chart reviews and education.
