Risk Adjustment Strategies: CDI Tips for HCC Reviews

Bookmark and Share

Risk Adjustment Strategies: CDI Tips for HCC Reviews

Product Code: YHHA040920A

* Required Fields

Availability: In stock

Your Price:
$259.00
Add Items to Cart

Risk Adjustment Strategies: CDI Tips for HCC Reviews

calendar
loyal listener library


Presented on:
Thursday, April 9, 2020| 1:00–2:30 p.m. Eastern

Presented by: Nena Scott, PHd, MSEd, RHIA, CCS, CCS-P, CCDS

Risk adjustment primarily uses diagnosis codes related to chronic diseases to heighten reimbursement for sicker patients. CDI staff need to capture the documentation of these conditions annually to contribute to a patient’s risk score. They must be documented consistently throughout the medical record, regardless of whether the patient is seen in the inpatient or outpatient setting.

CDI professionals tasked with reviewing for risk adjustment—whether they’re in the inpatient or outpatient setting—will find themselves immersed in the world of hierarchical condition categories (HCC), calculating risk scores, and outpatient coding guidelines. 

Join experts Laurie L. Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, and Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, CCDS-O, HSC-D, for this 90-minute deep dive into HCCs and risk adjustment methodologies and learn how to apply the principals to your everyday CDI chart reviews.

At the conclusion of this program, participants will be able to:

  • Explain the importance of HCCs
  • Calculate risk adjustment factor scores
  • Identify high-yield HCCs
  • Describe outpatient coding guidelines
  • Identify common metrics for tracking efficacy of an HCC-focused CDI program

Agenda

  • CMS reimbursement overview
    • Medicare Part A, B, and C
  • CMS-HCC risk adjustment methodology
    • Relative factors
    • Calculating risk scores
  • Coding rules and HCC capture
    • Official Guidelines for Coding and Reporting
    • ICD-10-CM codes mapped to HCCs
  • CDI practice and risk adjustment
    • Review focuses for HCC capture
    • Query practices
    • Inpatient vs. outpatient reviews
  • Measuring impact
    • Financial implications
    • Data tracking tactics
  • Q&A

Who Should Listen?

  • CDI specialists
  • CDI manager/director
  • HIM manager/director
  • Inpatient coder
  • Outpatient coder
  • Physician advisor
  • Hospital quality staff

Meet the Speakers

Laurie Prescott

      

Laurie L. Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, is the CDI education director at HCPro, a Simplify Compliance brand based in Middleton, Massachusetts. She is an instructor for the CDI Boot Camps, subject matter expert for ACDIS, and a member of the CCDS and CCDS-O committees and the ACDIS Advisory Board. Prescott has held roles in bedside care, administration, education, and compliance, and has developed and implemented a CDI program.

Shannon McCall

Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, CCDS-O, HSC-D, is the coding education director at HCPro, a Simplify Compliance brand based in Middleton, Massachusetts. In this role, she directs all the Certified Coder Boot Camp® programs, and she developed the Certified Coder Boot Camp®—Inpatient Version and the Evaluation and Management Boot Camp®. Most recently, she collaborated with the CDI team to develop the Risk Adjustment Documentation and Coding Boot Camp®, and serves on the CCDS-O certification committee. Additionally, she works with hospitals, medical practices, and other healthcare providers on a range of coding-related issues with a particular focus on education, coding reviews, and audits.

 

Continuing Education

Association of Clinical Documentation Improvement Specialists (ACDIS)
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Improvement Specialists (ACDIS).

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).

Instructions

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

PLEASE NOTE 
Participation in the webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.