You can increase your reimbursement for Medicare Advantage (MA) and ACA insurance claims with accurate risk-adjustment coding – if you know how…
It’s your patients’ risk scores that are key. Medicare Advantage payments are driven by accurately reporting Hierarchical Condition Category (HCC) diagnosis codes. Sounds easy enough, right? Well, when you only can use about 13% of diagnosis codes, making sure you’re really reporting how sick your patients are so you can be paid accurately can feel impossible.
Brenda Edwards, CPC, CDEO, CPB, CPMA, CPC-I, CEMC, CRC, AAPC Fellow can show you how to more accurately apply HCC diagnoses to your patients’ ailments so you don’t undercut the reimbursement you rightfully deserve.
Here are just a few of the tactics you’ll receive by viewing this practical, step-by-step online training session:
- Meet strict plan documentation requirements and improve compliance
- Conduct a risk-adjustment data evaluation and self-audit to avoid reduced payments
- Pin down the top conditions that cause coding errors
- Incorporate risk-adjustment coding tactics to your ACA plan claims and boost pay-up
- Discover how risk-adjustment scores are calculated and tied directly to payment levels
- And so much more…
Accurate risk-adjustment coding focuses on how sick your patients are versus how often they are seen or evaluated. Payments are linked directly to the documented conditions in your medical records, not to the number of visits or procedures performed. Then, your payments get adjusted when auditors double check your data.
Stop losing money on your Medicare Advantage claims. Take action now and sign up for the online training session today.
Who should attend this training?
- Practice Managers
- Physicians
- Non-physician Healthcare Professionals
- Coding Managers and Professionals (inpatient and outpatient)
- HIM Managers and Professionals
- Medicare Advantage Payers
- Quality Professionals
- CDI Managers, Directors and Specialists
Brenda has been in healthcare over 35 years working closely with practices, providers and residency programs to ensure documentation is compliant and accurate.
She has written many articles for national publications. Her humorous and engaging presentation style has made her a conference favorite for AAPC, AMBA, Training Leader, and Decision Health as well as AAPC local chapter meetings across the country.
Brenda teaches the virtual instructor led training (VILT) for AAPC. Mentoring the next generation of coders, billers, and auditors is her passion. She co-founded the northeast Kansas (NEKAAPC) chapter. Brenda serves on the national advisory board for AMBA and previously served on the AAPC Chapter Association Board of Directors.
Very informative and concise. It was clear and detailed.
Luz Capcha
Billing manager, Salerno Medical Associates LLP
Very good presentation.
Sarah Vining
Office Manager, Millennium Physical Therapy
Thought it was done well.
Gregory Strickland
Director of Physician Revenue Cycle, VCU Health System
The handouts were great, offering it on a CD for individual training for staff also a great plus. The session was good.
Mona Garcia
Billing Manager, Spokane Urology
Lots of useful information and where to look for more.
Carol Simmons
Manager Revenue Cycle & Audits, Adventist Physician Services
