Without correct ICD-9 and hierarchical condition categories (HCC) assignment, your Medicare advantage organization or plan can become the target of CMS-led Risk Adjustment Data Validation (RADV) audits resulting in hundreds of thousands of dollars in paybacks. This seminar will teach you how to assess your providers’ coding accuracy and improve their documentation to help ensure that your Medicare Advantage Plan receives optimal yet appropriate CMS payments.
In just 60 minutes, coders will come away empowered with improved ICD-9 coding skills that will help them audit their providers’ records and teach them to avoid commonly found RADV audit errors. Learn ways to spot invalid ICD-9 codes, unsupported HCC coding, undocumented comorbidities, and more. Finally, put your providers on the HCC and Risk Factor Adjustment (RAF) compliance track with easy-to-implement action plan how-tos and practical documentation improvement guidance.
Learnings you will take away :
Who should attend? Coders, nurses, compliance directors working for Medicare Advantage Organizations, Plans, or Medicare Managed Care Organizations (MCOs)
Jen Godreau, CPC, CPMA, COPC, CPEDC, AHIMA-Approved ICD-10-CM/PCS Trainer specializes in medical coding, billing and compliance for pediatrics, ophthalmology, optometry, family practice and otolaryngology, including allergy and audiology. As vice president of programs for Eye Care Leaders and Visionaries, she brings best-of-industry eye care solutions to healthcare practices. Top industry thought leaders turn to her members-only Eye Care Visionaries program for advance practice management and leadership content, events...
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