Advanced HCC Coding & Documentation 2016 is a conference that covers topics such as:
- Putting in place a provider education program: make or buy? In-source or outsource?
- Clinical documentation improvement program best practices: critical success factors, key metrics tracking and reporting, using mock audits, etc
- Payer-agnostic versus payer-centric considerations: universal applicability versus specific improvement or preparation initiative
- Prioritization and stratification of provider network for optimal training results, along with scoring techniques and use of metrics
- Assessment and identification of systemic errors, sources and stratified targeting
- Disconnects between RAF score impact on plan payments versus clinicians paid on RVU basis
- Tools for cycle management and take-home plans for implementation strategies
- Developing corrective actions and improvement initiatives
- Consider the provider office workflow: who is involved at each step?
- Keeping it all straight: RADV, routine CMS chart audits, HHX chart audits, HEDIS chart audits, etc
- On-boarding new employees in every role involved
- How to you build a training program from scratch and implement for each target audience
- Addressing practices still using paper charts versus surfacing EMR-related issues and stumbling blocks
- Approaching provider practices depending upon size (small, medium and large)
Advanced HCC Coding & Documentation 2016 brings together Health plan and provider group leaders, consultants and service providers with responsibilities in:
- Managers or directors of the HCC coding, quality and education functions
- Risk adjustment leadership in Medicare Advantage or ACA marketplace plans
- Compliance, legal & quality audit program managers
- Clinical Documentation Improvement (CDI) managers
- ACOs with MSSP, Pioneer or Next Gen Medicare ACO contracts, or with commercial risk adjusted ACO contracts
- Coding and documentation management with at-risk provider groups