• Disscuss risk adjustment Scores – what it is and why Risk Coding is important.
• Review provider documentation, as it relates to HCC coding – how to code to the highest level of specificity and what needs to be documented in the provider’s note.
• Discuss persistent condition validation – understand why it is important to recode a patient’s risk level annually in order to avoid loss of patient care dollars and Shared Savings.

Medical Coding: Coding Patient Complexity

• Amy E Scanlan, MD
• Tamara Ellis, RN, MBA, CRC

• The Colorado Medical Society 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.
• The Colorado Medical Society designates this enduring material for a maximum of 0.25 Hour(s) Attendance w/ No Credit. Participants should claim only the credit commensurate with the extent of their participation in the activity.

Tamara Ellis, RN, MBA, CRC and Amy E Scanlan, MD have no relevant financial relationship(s) with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients to disclose.

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 Colorado Medical Society and UC Health Integrated Healthcare. The Colorado Medical Society is accredited by the ACCME to provide continuing medical education for physicians.

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5/20/2021