Understanding the Importance of E/M Codes in Risk Adjustment
HCC coding is based on a patient’s chronic conditions, so the use of ICD-10-CM codes is heavily used in risk adjustment. In the shift to more risk adjustment coding with Medicaid and the change in recent Evaluation and Management (E/M) services, coders and auditors will now have to have a better understanding of E/M codes so overcoding and undercoding occurrences remain minimal.
Topics at a Glance
- High level overview of Retrospective HCC Coding
- High level overview of Evaluation and Management Services.
- The importance of management, coders and auditors familiarizing themselves with E/M services
- Retraining Staff
Who Should Attend
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Health Plans
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Providers
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Directors and Managers of Coding Departmens
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CDI
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Coders and Auditors
Top Reasons to Attend
- Understand the importance of Evaluation and Management (EM) services in Risk Adjustment
- Learn how to assist staff with retraining
- Understand to work with vendors and anyone else viewing retrospective encounters
