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Clinical Documentation for Risk Adjusted Contracts in a changing Environment


Overview
This session with explain the Medicare Advantage Program of Risk Adjustment and how ICD-10 codes map to HCC Categories. We will discuss Types of Risk Adjustment Models, HCC Concepts and how HCC works. Documentation requirements will be explained, as well as qualifying Provider Types and appropriate sources for documentation.
Objectives include an explanation of the history of HCC Coding, how it works, calculation of RAF Scores, Coding & financial impact.
Examples of HCC Categories and the ICD-10 codes mapping to them will be illustrated with a sample note. The speaker will review risks by pointing out Common Coding and Documentation Errors found during RADV Audits. The attendees will receive coding and documentation tips to improve their RAF scores.
Why should you attend this webinar?
To learn about future reimbursement models and improve risk adjustment bonus scores.
Areas Covered in the Session:
Topics which will be covered in the session (bulleted point)
  •  Background of HCC Coding 
  •  How Dignosis Codes link to HCC categories
  •  How HCC categories affect a patient's Risk Score
  •  RADV Audits and Common Errors
Who can Benefit:
Physician Leaders, Financial officers, coders and billers.
Compliance Key INC
717-208-8666

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