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Forward2021-2022 HCC Coding 101: HCC Workflow [IEM]
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Overview: 2021-2022 Hierarchical Condition Category (HCC) Coding 101: HCC Workflow is designed to help physicians and APPS understand how Hierarchical Condition Category (HCC) and Clinical Documentation Improvement (CDI) impacts the appropriate illustration for the disease burden of the patient.
This course provides an overview of The Centers for Medicare and Medicaid Services (CMS) requirements of Hierarchical Condition Category (HCC) along with three scenarios that demonstrate on how to apply HCC codes; access diagnosis codes through supporting documentation; and how to evaluate HCC codes annually in Epic. The course provides demonstration of The Centers for Medicare and Medicaid Services (CMS) requirements within Epic, during which the participants will apply these in Epic in the day-to-day work
Target Audience
Physicians and Advanced Practice Providers of the Baylor Scott & White Health System
Learning Objectives
After participating in this activity, the learner should be able to:
- List the CMS and ICD-10 requirements that represent their patient's illness of burden.
- Apply Hierarchical Condition Categories (HCC) codes and interpret the patient’s burden of illness with supporting documentation in Epic.
- Maintain and incorporate Hierarchical Condition Categories (HCC) in patient’s visit encounters for CMS reporting of the claims and drive appropriate reimbursement.
Planners/Authors:
- Dr. Michael Massey, VP CMO BSWQA, Physician Management
- Dr. Brent Walker, Sr. VP of Medical Affairs / Chief Clinical Officer
- Dr. Paul Bassel, HTPN Physician Disease Management
- Dr. Kevin Liu, HTPN Physician
- Dr. Jennifer Welsh HTPN Physician
- Jodi White, LVN, HTPN Population Health Manager
- Dana Workman, HTPN Quality Improvement Coordinator
Disclosure of Relevant Financial Relationships:
Each person in control of content has disclosed that s/he have no financial relationships with any companies who primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
Commercial Support:
No commercial support was received for this activity.
Accreditation: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Designation: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health, designates this enduring material activity for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This CME activity type is an enduring material. Physicians who complete the enduring material may claim the full amount of credit designated for the activity, regardless of the amount of time it took the physician to complete the activity.
Available Credit
- 0.50 AMA PRA Category 1 Credit™The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
- 0.50 Attendance