Risk Adjustment and Despicable Me with Pediatrics

The goal of this program is to close provider competency gaps related to the principles of the CMS-HCC risk adjustment model and the importance of accurate and complete documentation requirements for ICD-10-CM diagnosis coding. Sessions include discussions on CMS-HCC risk adjustment coding, documentation challenges, and official ICD-10-CM diagnosis coding guidelines within the framework of specific medical specialties and diseases. Describe risk adjustment methodology and define its role in Value Based Care models. Review specific official ICD-10-CM coding guidelines and how they are applied to diagnosis coding and reporting. Identify elements of the medical record that help support the validation of reported conditions. Identify documentation deficiencies for specific conditions.