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CODING SESSION for ACO Mgrs & Billers

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Hyatt Place Charleston Airport/Convention Center

3234 W. Montague Ave.

North Charleston, SC 29418

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Presented by:

Steve Adams, MCS, COC, CPC, CPMA, CPC-I, PCS, FCS, COA

Senior Management Consultant, InHealth Professional Services




Topic 1: Risk Adjustment and HCCs

Risk Adjustment Models are the future of reimbursement. For 2018, groups that score above average on the Risk Adjustment Model will be allocated extra points under MIPS and MACRA.

Objectives:

  • Identify what an HCC, RXHCC and the RAF means to you.
  • State how your ICD-10 code will shape your future reimbursement
  • Recognize how important it is to document comorbid conditions
  • Use the top valued HCCs and their corresponding ICD-10 codes
  • Discuss what the optimal RAF score is for you and your patients to achieve the most compliant

Topic 2: Using Technology to Resolve Coding Issues and Denials

Have you ever wanted to know how some people just seem to know more than you about coding and reimbursement? I was told early in my carrier that a good coder doesn’t know all the answers, but does know how to find the answer. During this workshop I’ll walk you though the process of finding the answers to all your questions.

Objectives:

  • How to use the CMS web site to research LCDs and NCDs
  • Find out how to determine when to use modifiers in association with
  • CPT category I, 2 and 3 codes
  • Learn the best way to research coding questions using something as
  • simple as google – wording is critical
  • What are the best software packages to use as we move forward towards
  • payment for performance
  • See the websites I use to research and study HCCs and RAF

During this workshop I’ll take the four most common questions I get every month and walk you through my process of finding the answer so you too can use technology to resolve coding issues and denials.

CEUs: 1.5 AAPC Approved CEU’s for each topic.



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Date and Time

Location

Hyatt Place Charleston Airport/Convention Center

3234 W. Montague Ave.

North Charleston, SC 29418

View Map

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