Are You Prepared for A Medicare HCC Audit? Analysing Today\'s Risk Adjustment Model

HCC Coding and Auditing: Understanding Today's Risk Adjustment Model
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 regulatory requirements and mandates related to Hierarchical Condition Categories (HCCs), while applying coding guidelines updates.

For over a decade now, the CMS hierarchical condition categories (CMS-HCC) model was implemented for the intended use of paying plans appropriately for the predicted health cost expenditures of their enrollees. As part of the Affordable Care Act, HHS-HCCs Risk Adjustment Model was created for individual and small group markets inside and outside exchanges. This presentation will cover the background of HCCs and enhance knowledge on how to accurately and appropriately capture HCCs in coding, CDI and auditing.

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 Medicare Hierarchical Condition Categories (HCCs) and let’s learn about those situations and key areas where HCC coding and auditing errors may be prevented.

In addition, this informational webinar, by expert speaker Victoria Hernandez, will provide an overview of the coding guidelines, resources and references that impact HCC coding and auditing. You will identify best practices in coding and auditing HCCs, promote quality clinical documentation and regulatory compliance.

Session Objective and Outcome

• Identify best practices in HCC coding and auditing in line with regulatory updates


• Learn how to accurately identify HCC coding and auditing errors


• Understand regulatory directives applicable to HCC coding


• Review coding and auditing situations involving HCCs


• Incorporate an internal HCC audit plan and education


• Engage in questions and answers with industry professionals

Session Agenda And Highlights

• Introduction


• What is Risk Adjustment?


• What are HCCs?


• Overview of CMS-HCC Model


• HCC Coding and Auditing


• Official Guidelines for Coding and Reporting


• Review of Coding References and Resources


• Audit Plan Best Practices


• Disclaimer


• Summary

Who Should Attend

• HIM Coding Directors,


• Managers, Supervisors;


• Hospital Coding Staff;


• Clinical Documentation Improvement Management and Staff;


• Reimbursement Specialists;


• Coding Compliance Management and Staff;


• Auditors and Educators

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

Click for Menu of Ordering options