Advanced HCC Coding & Documentation 2016

  • 06-07 Oct 2016
  • DoubleTree by Hilton Grand Hotel Biscayne Bay, Miami, FL, United States

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

Important

Please, check "Advanced HCC Coding & Documentation" official website for possible changes, before making any traveling arrangements

Event Categories

Business: Internal Audit & Compliance, Risk Management
Government & Global Issues: Law & Regulations
Health & Medicine: Healthcare

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