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YOU WILL BE PRESENTED WITH A LINK TO EVALUATE AND CLAIM CREDIT FOLLOWING COMPLETION OF YOUR EDUCATION
 

Original Release Date: 03/31/2023
Expires: 03/30/2025
Credit claim for this activity will end at 11:59 PM 03/20/2025

Overview: Pediatric providers need to better understand the documentation that is required for specific code assignment so that medical diagnosis codes are an accurate reflection of the acuity and complexity of a patient’s health story. Pediatric providers need to learn Epic tools that are available to help with HHS-HCC capture (coding) and will allow them to be successful with this 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:

Know the role of the Clinical Documentation Integrity (CDI) team and recognize how they can help ·
Define what risk adjustment is and how documentation impacts patient complexity ·
Identify key documentation components of common pediatric conditions that risk adjust
Implement best practice recommendations for documentation to maximize HHS-HCC capture

For further study: 

2023 Benefit Year Final HHS Risk Adjustment Model Coefficients (cms.gov)

2023 Midyear_Final ICD-10-CM Mappings1.xlsx

2023 Benefit Year Final HHS Risk Adjustment Model Coefficients (cms.gov)

2023 Midyear_Final ICD-10-CM Mappings1.xlsx

Planners/Authors: 

• Erin Walton, MS, BSN, CPNP-PC, CpC-A
• Dr. Sunita Varghees, Vice President, Clinical Documentation Integrity
• Michelle Spera, MSN, RN

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.

*In the ACCME System (ineligible companies) are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients

Method of Participation & Request for CME/MOC Credit:

•Read all instructions and activity information
•View the slides in their entirety
•Complete the post-activity quiz with 100% accuracy.
•Instructions to evaluate and claim credit(s) for the activity will be provided on the final slide of the activity.
•Post activity, Click on the link to be taken to evaluation and credit claim for the course or follow the link sent in an email from Trainer@BSWHealth.org  to complete all questions on the evaluation and claim credit.

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 physicians to complete the activity.

CME:
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 (ACCME) 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.