Section 1: Introduction to Medicare Disease Burden Accuracy Coding

• Gain a solid foundation in Medicare coding with a detailed exploration of key concepts such as Risk Adjustment and Fundamentals, Hierarchical Condition Categories, and the calculation of Risk Adjustment Factor (RAF) Scores. Understand your role as a provider and the crucial contribution of coders in ensuring compliance through Prospective and Concurrent Reviews.

Section 2: Clinical Documentation Improvement Strategies: Best Practices

• Unlock the power of Clinical Documentation Improvement (CDI) with our comprehensive seminar. Explore the purpose and impact of CDI, set meaningful goals, and understand the intricacies of documentation specificity. Dive into the CDI process and gain insights from illuminating case studies to drive meaningful improvements in clinical documentation.

Section 3: Documentation and Coding Best Practices for Prevalent Chronic Conditions 

• Equip yourself with essential knowledge on documenting and coding prevalent chronic conditions. Learn from real-world examples of coding workflows tailored to support providers in accurately capturing chronic conditions. Key points highlight best practices for optimized documentation and coding efficiency.

Section 4: Coding Compliance: Office of the Inspector General (OIG) and Risk Adjustment Validation (RADV)

• Discover the significance of compliance in Medicare coding as we delve into the roles of the Office of Inspector General (OIG) and CMS Risk Adjustment Data Validation (RADV) audits. Learn from OIG audit findings, identify high-risk conditions, and implement strategies to mitigate compliance risks with our comprehensive Compliance Checklist.

Section 5: Medicare Risk Model Transition: V24 to V28

• Stay ahead of the curve with insights into the transition from V24 to V28 in the Medicare HCC model. Understand the overarching changes, compare versions, and grasp the implications for providers, including the evolving role of Primary Care Physicians. Key points ensure a seamless transition for your practice.

At CareAbout Health we're committed to your success in value-based care. Join us on this journey to elevate your understanding of DBA coding and unlock new opportunities for excellence in healthcare delivery.