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Home > Audio Learning Center > Risk Adjustment for Providers and Medical Coders

Risk Adjustment for Providers and Medical Coders

Date:Thursday, June 14, 2018
Time:12 noon to 1:00 p.m. Central Time
Course fee:SPECIAL $99 1 HR WEBINAR
Presented by: Scott W. Disch, MPH, President of SolveMed Consulting, LLC

Webinar/Audio Conference FAQs

It is very important for physician practices to understand the concepts related to risk-adjusted coding. As our healthcare system continues to shift from volume to value, the accurate reporting of the severity of patients' illnesses is critical. Hierarchical Condition Category (HCC) is already in use and as a result, diagnosis coding for provider services has taken on increased importance.

Today, more commercial and government payer arrangements are progressing health care providers into bearing more financial risk. The strategy of proper documentation and specificity of a patient's illness and burden of disease is now paramount for medical practices and their coding personnel. With more ACO's moving into downside risk in 2019 and many more medical groups focusing on Medicare Advantage, CPC plus, and customized commercial capitation deals, the risk adjustment of their population matters significantly.

Practices that neglect to report status codes will suffer a negative consequence in risk-adjusted coding. Learn to utilize diagnostic codes for chronic conditions to the highest specificity and co-morbid relationships. Learn to follow ICD-10 rules. Understand whether to use all current and past conditions when coding an encounter and what types of unspecified codes don’t carry a risk-adjusted factor.

Join our guest expert, Scott W. Disch, MPH, President of SolveMed Consulting, LLC, for this 60 minute "Lunch and Learn" webinar program. Scott will explain the following and answer your questions on this emerging healthcare topic.

  • How to focus on value opportunities and not "Boil the Ocean" in risk adjustment
  • Build teams for pre-visit planning and coordination with providers
  • Scale coding support and technology at the point of care for enhancement of provider

Continuing Education Units (CEUs)

PMI CEU APPROVED Earn 1 PMI CEUs for attendance at this program. Practice Management Institute grants CEUs for its certified professionals based on total number of instructional hours (1 CEU per hour of classroom instruction). CEUs may be applied to annual recertification requirements, as directed in the certification renewal requirements for your credential(s).

If you are seeking CEU credits for other certifications or organizations, please contact your organization for pre-approval and credit guidelines. A certificate of attendance will be provided.

Please read below before completing your webinar registration.

Have you heard about PMI's TOTAL ACCESS Webinar subscription program? TOTAL ACCESS puts a full library of training in the hands of your entire staff for a monthly fee of just $249. TOTAL ACCESS is the newest way to develop your own talent, without leaving the office to attend training classes. It's also the fastest way to bring both experienced and new staff up-to-date on current issues.

Sign up now and you'll receive this webinar plus the following benefits for as long as you subscribe: access codes to all upcoming live webinars and unlimited access to the TOTAL ACCESS Library, more than 300 hours of on-demand, pre-recorded training sessions on over 100 topics relevant to medical office coding, billing, compliance, management, front desk, and much more. It's a GREAT VALUE!

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About the Presenter

Scott’s vast health care experience includes roles in physician services handling revenue cycle management, managed care and value-based risk contracting, physician recruitment, integration, and on-boarding, detailed medical practice operations, and day-to-day adherence to quality outcomes, process efficiency and throughput in the ambulatory setting.

Prior to launching SolveMed Consulting, he served as VP, Performance Management & National Practice Leader for Privia Health where he worked with acute care hospitals and ambulatory health networks. He handled the administration and operational management of physician practices, strategic growth initiatives, population health/risk contract management as well as the development of physician financial and service contractual relationships.

He earned a Masters of Public Health in Public Health Practice from the University of Massachusetts, Amhurst, and a Bachelor Arts in Healthcare Services from St. Thomas University, Miami, Florida. Scott has written several articles, holds memberships with health care associations, and served on boards focused on the business of health care.

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