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ForwardProvider Documentation Focus on Congestive Heart Failure and Arrhythmias: On-Demand
Activity description
The Centers for Medicare & Medicaid Service (CMS) risk-adjustment model uses the Hierarchical Condition Category (HCC) method to calculate risk scores based on accurate diagnosis codes reported by providers to Medicare Advantage Plans. This is dependent on complete and accurate coding and documentation to the highest level of specificity to relay the complexity of a patient’s health status.
This presentation will cover documentation improvement specific to congestive heart failure (CHF) and arrhythmias.
Provided by
This activity is jointly provided by OptumHealth Education and Optum Risk, Quality & Network Solutions.
Commercial support
There was no commercial support received for this activity.
Hardware/Software requirements
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Target Audience
This activity is designed to meet the educational needs of coders and physicians that have an interest in learning about the importance of accurate coding and documentation.
Learning Objectives
At the end of this educational activity, participants should be able to:
- State the importance of accurate coding and documentation to the highest level of specificity for CHF and arrhythmias for Medicare Advantage.
Planners
Sarah Chart, RN
Senior Director
OptumHealth Education
Rebecca Gleason, RN, CCM
Activity Manager
OptumHealth Education
Crystal Wong, MD
President
Propoint Medical Writing
Faculty/Planners
 | David S. Brigner, MLAS, CPC, CPC-I |
 | Amber Green, DNP National Vice President of Training, Provider Engagement & Strategy Optum Risk, Quality & Network Solutions |
 | Carrie Mann, MBA, CPC, CPC-I National Director of Training, Provider Engagement & Strategy Optum Risk, Quality & Network Solutions |
 | Kate Tierney, CPC, CPC-P, CPMA, CRC, CPC-I, CEDC, CEMC, CGSC, COBGC |
 | Michelle Tulier, CPC, CDEO, CPMA, CRC, CPC-I |
Disclosures of relevant financial relationships
In accordance with the ACCME Standards for Commercial SupportSM, OptumHealth Education (OHE) requires all those involved in the development of activity content to disclose their relevant financial relationships. An individual has a relevant financial relationship if such person (or his/her spouse/partner) has a financial relationship in any amount occurring in the last 12 months with a commercial interest. OHE ensures that the content is independent of commercial bias.
The activity faculty and planners have no financial relationships to disclose.
Method for calculating CE credit
CE credit was calculated by the complexity of content.
Accreditation statement
In support of improving patient care, this activity has been planned and implemented by OptumHealth Education and Optum Risk, Quality & Network Solutions. OptumHealth Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credit designation statements
Physicians
OptumHealth Education designates this live activity for a maximum of .5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
PAs
The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.
Nurse practitioners
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.
AAPC-certified coders
This program meets AAPC guidelines for 0.5 CEUs. Can be used for Core A, CCC, CCVTC, CEMC, CIMC, CFPC, CDEO and CPMS with successful completion of post-test for continuing education units.
Attendance
A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been pre-approved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization with which they wish to obtain credit.
Available Credit
- 0.50 AAPC - Coders
- 0.50 AMA - Physicians
- 0.50 Attendance - General Attendance
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