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Go Beyond the “Gold Standard” of 95% Coding Accuracy

March 21, 2023  |  1:30 EST  |  1 Hour

A RISE Association Webinar in Partnership with Episource

The Power of Quality Review: How Auditing Programs Can Enhance Accuracy & Program Outcomes
Conveniently attend the webinar virtually from your office or home!

The Centers for Medicare & Medicaid Services (CMS) has taken steps to ramp up the scope and scale of its audits, doubling its budget from 2021 to 2022 for fraud, waste, and abuse mitigation. Under this heightened regulatory landscape, it’s more important than ever for healthcare organizations to code their charts to the highest level of accuracy. Discover how to go beyond the “gold standard” of 95% accuracy by auditing your own vendor and independently identify how well your coding is being performed. The topics at a glance that will be discussed are:

  • Understand the impact of current industry and CMS regulatory changes
  • Examine the importance and use of coding quality metrics to support minimizing future financial impact
  • Recognize how structure, content, and delivery together create impact and strengthen your risk adjustment program

Who Should Attend This Webinar

This webinar is designed to specifically benefit those with responsibilities in the following areas:

  • Mid to senior-level decision makers across all health plan types, primarily Medicare/Medicare Advantage.

Top Reasons to Attend This Webinar

  • Develop a complete and sustainable process for medical coding and review
  • Learn tips for monitoring your review process and key metrics to consider
  • Access a case study on a MA health plan’s retrospective coding project to ensure compliance

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