CMS & HHS Risk Adjustment 101 and HCC Coding Accuracy 2016

Topics

• Visualize the linkages between the many critical roles in the larger scope of risk adjustment and understand how to optimize your own contributions
• Longer-term risk adjustment players: fill in where home-grown training left you with knowledge gaps
• Discern HCC-valid diagnoses in charts using proven techniques
• How risk adjustment drives the financial health of the health plan and its downstream provider partners
• The imperative judgments involved in applying ICD guidelines and the RADV-compliance guidance inherent in high performance HCC coding work
• The fundamentals of how HCC hierarchies operate and the financial and care management implications for diagnostic coding

Who should Attend

• HCC coders (with or without AAPC or AHIMA certifications)
• Risk adjustment management and staff
• Clinical documentation improvement (CDI) professionals
• At-risk provider groups, including ACOs
• Finance/revenue management
• Compliance, legal, and quality audit personnel
• Medical directors and physician leaders
• Actuarial staff
• Provider contracting/management
• Government programs and marketplace plans