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Advanced HCC Coding & Documentation 2016
06-07 Oct 2016
DoubleTree by Hilton Grand Hotel Biscayne Bay, Miami, FL, United States
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Advanced HCC Coding & Documentation 2016
Description
Topics
Putting in place a provider education program: make or buy? In-source or outsource?
Clinical documentation improvement program best practices: critical success factors, key metrics tracking and reporting, using mock audits, etc
Payer-agnostic versus payer-centric considerations: universal applicability versus specific improvement or preparation initiative
Prioritization and stratification of provider network for optimal training results, along with scoring techniques and use of metrics
Assessment and identification of systemic errors, sources and stratified targeting
Disconnects between RAF score impact on plan payments versus clinicians paid on RVU basis
Tools for cycle management and take-home plans for implementation strategies
Developing corrective actions and improvement initiatives
Consider the provider office workflow: who is involved at each step?
Keeping it all straight: RADV, routine CMS chart audits, HHX chart audits, HEDIS chart audits, etc
On-boarding new employees in every role involved
How to you build a training program from scratch and implement for each target audience
Addressing practices still using paper charts versus surfacing EMR-related issues and stumbling blocks
Approaching provider practices depending upon size (small, medium and large)
Who should Attend
Health plan and provider group leaders, consultants and service providers with responsibilities in:
Managers or directors of the HCC coding, quality and education functions
Risk adjustment leadership in Medicare Advantage or ACA marketplace plans
Compliance, legal & quality audit program managers
Clinical Documentation Improvement (CDI) managers
ACOs with MSSP, Pioneer or Next Gen Medicare ACO contracts, or with commercial risk adjusted ACO contracts
Coding and documentation management with at-risk provider groups
Past Events
Advanced HCC Coding & Documentation 2016 - 06-07 Oct 2016, DoubleTree by Hilton Grand Hotel Biscayne Bay, Miami, Florida, United States
(62480)
Important
Please, check "Advanced HCC Coding & Documentation" official website for possible changes, before making any traveling arrangements
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