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Risk Adjustment and HCC Coding for House Calls
Description
Risk adjustment scores are increasingly being used to adjust payments for health care services. The calculations are dependent upon the patient's demographic information and their health status determined through Hierarchical Condition Category (HCC) coding. As more payers move to the risk adjustment model, it will become critical that a patient's diagnosis options are coded to the highest degree of specificity. If coding and documentation are not done appropriately, you will not receive the adequate funding needed to support the services already provided.
Objectives
In this course, you will learn how to use HCC codes to accurately reflect the level of service needed for the patient's condition and appropriately receive credit for services provided. Upon completion, you will be able to do the following:
  1. Explain a risk score calculation using HCC codes and the impact it has on providers.
  2. Develop a workflow that ensures HCC codes are assigned accurately.
  3. Apply strategies that support quality documentation for assigning HCC codes.
Estimated Time to Complete
15 minutes
In order to earn credit for participation in this activity, the learner must complete a 5-question post-test with a passing score of 80% or better with unlimited attempts.
Intended Audience
This course is intended for house call providers, as well as coders, practice managers, and operations staff.
Credit Information
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of PeerPoint Medical Education Institute and the Home Centered Care Institute. PeerPoint Medical Education Institute is accredited by the ACCME to provide continuing medical education for physicians.

PeerPoint Medical Education Institute designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Approved: February 1, 2021
Expiration: January 29, 2024
Disclosures
None of the planners, authors, or reviewers for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
Summary
Availability: On-Demand
Cost: $49.00
Credit Offered:
0.5 CME Credit
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