The Medicare Risk Adjustment Regulatory Compliance team at Anthem Blue Cross and Blue Shield offers two provider training programs regarding Medicare risk adjustment and documentation guidelines. Information for each training is outlined below.

 

Medicare risk adjustment and documentation guidance (General):

  • Series: Offered the first Wednesday of each month from 1:00 to 2:00 P.M. (ET)*
  • Learning objective: This onboarding 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.
  • Credits: This live activity, Medicare risk adjustment and documentation guidance, from January 8, 2020 to December 2, 2020, has been reviewed and is acceptable for up to 1.00 prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 

To learn how providers play a critical role in facilitating the risk adjustment process, register for one of the monthly training sessions at this link: https://bit.ly/2TYMgbn

* Note: Dates may be modified due to holiday scheduling

 

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

  • Series: Offered the third Wednesday of each month from 1:00 to 2:00 P.M. (ET)
  • Learning objective: This training series will 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.
  • Credits: This live series activity, Medicare risk adjustment documentation and coding guidance, from January 15, 2020 to November 18, 2020, has been reviewed and is acceptable for credit by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity

 

For those interested in the following training topics, please register at this link: https://bit.ly/2IgxDO9

* Note: Enter the password provided, and the recording will play upon registration.

  • Red flag HCCs
  • Neoplasms
  • Acute, chronic and status conditions
  • Diabetes mellitus and other metabolic disorders
  • Coinciding conditions in risk adjustment models

 

Please note that the original training events have been modified due to a transition within WebEx as of August 1, 2020. The date and time of the events have not changed but the program link and invitation detail have been updated. Previously registered participants will need to re-register for a training event using the updated registration link(s) provided in this announcement.

 

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January 2021 Anthem Provider News - Kentucky