Our Medicare Risk Adjustment Regulatory Compliance team developed two provider training programs regarding Medicare risk adjustment guidelines. Information for each training is provided below:

 

Medicare risk adjustment and documentation guidance (general)

  • When - offered the first Wednesday of each month from December 5, 2018, to November 6, 2019 at 1:00 p.m. to 2:00 p.m. Eastern time
  • Learning objective - This training will provide an overview of Medicare Risk Adjustment, including the Risk Adjustment Factor and the Hierarchical Condition Category (HCC) Model, with guidance on medical record documentation and coding.
  • Credit - This activity has been reviewed and is acceptable for up to one prescribed credit by the American Academy of Family Physicians.

 

If you are interested in joining us to learn how providers play a critical role in facilitating the risk adjustment process, register here for one of the monthly training sessions.

 

Medicare risk adjustment, documentation and coding guidance (condition specific)

  • When - offered on the fourth Wednesday of every other month from January 23, 2019 to November 27, 2019 from noon to 1:00 p.m. Eastern time
  • Learning objective - This is a collaborative learning event with Enhanced Personal Health Care (EPHC) to provide in-depth disease information pertaining to specific conditions including an overview of their corresponding hierarchical condition categories (HCC), with guidance on documentation and coding.
  • Credit - This live series activity has been reviewed and is acceptable for credit by the American Academy of Family Physicians.

 

For those interested in joining us for this six-part training series, please see the list of topics and scheduled training dates below:

 

  • Red flag HCCs, part oneRegister here for recording of live session. Training will cover HCCs most commonly reported in error as identified by CMS: chronic kidney disease (stage 5), ischemic or unspecified stroke, cerebral hemorrhage, aspiration and specified bacterial pneumonias, unstable angina and other acute ischemic heart disease, and end-stage liver disease. Recording will play upon registration.

 

  • Red Flag HCCs, part twoRegister here for recording of live session. Training will cover HCCs most commonly reported in error as identified by CMS: atherosclerosis of the extremities with ulceration or gangrene, myasthenia gravis/myoneural disorders and Guillain-Barre syndrome, drug/alcohol psychosis, lung and other severe cancers, and diabetes with ophthalmologic or unspecified manifestation. Recording will play upon registration.

 

  • Opioids and more: substance abuse and dependenceRegister here. Recording will play upon registration.

 

  • Acute, chronic and status conditionsRegister here. Recording will play upon registration.

 

 

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October 2019 Anthem Connecticut Provider News