Alliance coding work group: SelectHealth case studies
Event Date: 6/2/2016
Event Overview
Webinar event: 11:30AM CT - 1PM CT
Session description:
- This call is one in a series designed for the Alliance coding work group. These calls showcase one health plan at a time, whose team is responsible for sharing two case studies with the other group members for discussion.
- The case study charts will be shared at least two weeks in advance of the call, and made available on the coding work group's collaboration site.
- Participants will review the charts in advance and bring documentation regarding how they would code and why.
- The discussion will be moderated by SelectHealth's named facilitator, who will summarize input and ultimately phrase the best practice identified.
- The goal of each call is to arrive at a resolution for each “problem chart,” and document that resolution for the benefit of all Alliance members, with referenced literature/materials substantiating the decision.
- Alliance staff will assist in preparing the final documentation from each call, and the facilitator will review for accuracy prior to posting to the member website.
- Any remaining time during the call will be available for open discussion, which could be used to:
- Review the most recent online conversations between coders on the Alliance website.
- Best practices could be called out and highlighted, with additional clarification and discussion as needed
- Potential inaccuracies could be explored and follow up assigned to members of the group for the next call, if needed.
- Proven inaccuracies could be flagged for removal from the site, as needed.
This event is designed for:
Certified coders and managers with responsibility for the oversight of coders, as well as plan staff with responsibility for physician training around accurate and specific documentation related to coding.
This event is hosted on our Readytalk platform.
This event has been approved by the AAPC for 1.5 CEUs.
The program has been approved for 1 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
Only attendees to the live webinar event may earn these CEUs. The certificates will be sent to each attendee directly after they log into the event using the Individual Access Link provided by the Readytalk platform.
Documents
Recording: Coding work group case study collection form SelectHealth June 2016
SelectHealth case study for the coding work group
Coding work group case study collection form SelectHealth June 2016
This collection from SelectHealth is the coding work group case study pre-work from the June 2016 work group meeting.
Attendees
Below is a list of all delegates registered to date for this event
- Lori Asmus
- ALLIANCE MEMBER
- Director, Risk Adjustment at Network Health
- Julie Bartels
- ALLIANCE MEMBER
- Risk Adjustment Analyst at Quartz Health Solutions
- Pamela Bower
- ALLIANCE MEMBER
- Program Manager, Risk Adjustment at Presbyterian Health Plan
- Jacqueline Crews
- ALLIANCE MEMBER
- Director, Public Policy & Benefit Contracts at AvMed
- Deb Curry
- ALLIANCE MEMBER
- Director Risk Adjustment & Recoveries at Paramount Health Care
- Colleen Degenhardt
- ALLIANCE MEMBER
- Risk Adjustment Compliance Analyst at Quartz Health Solutions
- Alison Dunton
- ALLIANCE MEMBER
- Director of Practice Enhancement & Analytics at Aspire Health Plan
- Jessica Dupont
- ALLIANCE MEMBER
- Vice President of Government Programs at Alliant Health Plans
- Melisa Golemon
- ALLIANCE MEMBER
- Credentialing Coordinator at New West Health Services
- Ellen Gramm
- ALLIANCE MEMBER
- Health Information Specialist at Avera Health Plans
- Davetta Hammond
- ALLIANCE MEMBER
- Coding Consultant at Aspire Health Plan
- Christi Isaac
- ALLIANCE MEMBER
- Code Review Program Manager at Health Alliance Medical Plans
- Amy Jack
- ALLIANCE MEMBER
- Risk Adjustment Coding Manager at SelectHealth
- Karen Jensen
- ALLIANCE MEMBER
- Manager, Risk Adjustment and SIU at Quartz Health Solutions
- Morgan Johnson
- ALLIANCE MEMBER
- Risk Adjustment Coding Auditor at SelectHealth
- Erin Kavanagh
- ALLIANCE MEMBER
- Risk Adjustment Analyst at Samaritan Health Plans
- Barb Koerperich
- ALLIANCE MEMBER
- Director of Health Care Services at Medical Associates Health Plans
- Kathy Mantell
- ALLIANCE MEMBER
- Provider Configuration Specialist at SummaCare
- Heidi Mattson
- ALLIANCE MEMBER
- HIM Data Analyst at Avera Health Plans
- Stephne Morgan
- ALLIANCE MEMBER
- Risk Adjustment Program Manager at Health New England
- Tyrone Muhammad, CPC
- ALLIANCE MEMBER
- Sr. Financial Data Analyst at Health New England
- Treya Norris
- ALLIANCE MEMBER
- PMG HCC/HRA Program Manager at Presbyterian Health Plan
- Kari Pace
- ALLIANCE MEMBER
- Clinical Documentation Improvement Nurse-Risk Adjustment/Quality Management at Medical Associates Health Plans
- Rachel Reimann
- ALLIANCE MEMBER
- AVP Regulatory Compliance at SelectHealth
- Kristy Russell
- ALLIANCE MEMBER
- HCC Coding Analyst Supervisor at SelectHealth
- Donna Shorten
- ALLIANCE MEMBER
- Risk Adj clinical coding specialst at New West Health Services
- Ashley Stipanovich
- ALLIANCE MEMBER
- Risk Adjustment Coding Auditor I at SelectHealth
- Tana Turner
- ALLIANCE MEMBER
- Risk Adjustment Coding Auditor ll at SelectHealth
- Kimberly Watkins
- ALLIANCE MEMBER
- Risk Adjustment Coding Auditor Supervisor at Intermountain Healthcare
Speakers
- Kimberly Watkins
Risk Adjustment Coding Auditor Supervisor at Intermountain Healthcare
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