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What You Need to Know About Risk Adjustment HCC Coding and Audits

By - VICTORIA M. HERNANDEZ, RHIA, CDIP, CCS, CCS-P, AHIMA-Approved ICD-10-CM/PCS Trainer

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Do you know the specific submission requirements from the Centers of Medicare and Medicaid Services (CMS) involving risk adjustment data, which includes Hierarchical Condition Categories (HCCs)? Quality coding and auditing of medical records are essential to ensuring your organization’s compliance to regulatory directives, including risk-adjusted payers. It is important to understand all the coding guidance and regulatory requirements related to HCCs.

Get ready and let’s be proactive and prevent coding and auditing errors that may impact your health care organization’s revenue cycle. Join us in this webinar as we dive into the world of Hierarchical Condition Categories (HCCs) for both Medicare Advantage (MA-HCC) and Health and Human Services / Affordable Care Act (HHS-HCC). We will identify best practices in coding and auditing HCCs, promote quality clinical documentation and regulatory compliance.

What You Will Learn:

  • Understand coding guideline updates and regulatory directives applicable to HCC coding
  • Learn how to accurately identify HCC coding and auditing errors
  • Identify best practices on coding and auditing HCCs
  • Practice and review case examples involving HCC coding and auditing
  • Engage in questions and answers with industry professionals

What We Will Be Covering:

  • Similarities and Differences between CMS-HCC and HHS-HCC models
  • Common HCCs reported and Common Errors Identified
  • Medicare Enrollment Statistics
  • Coding Tips/Reminders and Importance of Documentation
  • Overview of Improper Payments
  • HCC Practice Case Scenarios

Who Should Attend:

Hospital and Clinic Coding Staff, Managers, Directors, Auditors, CDI Staff, Clinicians, Coding Compliance and Privacy Staff

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Choose an option
Live
$199.00
Recording
$199.00
Transcript
$199.00
DVD
$249.00
Flashdrive
$249.00
Live, Recording & Transcripts
$349.00
Live + Recording
$299.00
Live + Transcript
$249.00
Recording & Transcript
$299.00
Flashdrive & Transcript
$299.00
DVD & Transcript
$299.00

Speaker Detail

VICTORIA M. HERNANDEZ, RHIA, CDIP, CCS, CCS-P, AHIMA-Approved ICD-10-CM/PCS Trainer

Victoria is a Registered Health Information Administrator (RHIA), a Clinical Documentation Improvement Practitioner (CDIP), Certified Coding Specialist (CCS), a Certified Coding Specialist Physician-Based (CCS-P) and an AHIMA-Approved ICD-10-CM/PCS Trainer with over 28 years of experience in the healthcare field. In her professional role, Victoria is the Founder of a coding, auditing and CDI company called Integrity Coding Solutions. Prior to starting her company, she was the Regional Director of Coding Audit and Education for a California-based integrated healthcare delivery system covering 21 facilities with 160+ coders and CDI staff. She specialized in providing the following: initial and on-going coding, audit and CDI education, specialty-specific training, department presentations and one-on-one feedback to coding, CDI staff, physicians, local, regional, and national leadership.

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