From: October 2, 2018
To: October 2, 2018
Inaccurate and incomplete diagnosis coding damage Hierarchical Condition Category (HCC) scores for medical
groups in accountable care organizations or involved in risk-based contracts, hurting revenue for future contract years. Practices can increase their risk scoring via accurate diagnosis codes that describe the patient’s conditions and co-morbidities on claim forms. This session will detail how to measure provider risk scores and set a baseline for individual physicians and the practice as a whole to achieve lasting change with proper accounting for riskadjusted
factors, monitoring and feedback.
This session will provide you with the knowledge to:
- Diagram two key concepts of risk-adjusted
diagnosis coding - Analyze your own ICD-10 coding use of unspecified
codes for high-frequency conditions and the use of
status codes - Outline a plan to monitor risk scores, educate clinicians
and provide ongoing feedback