HCC (Hierarchical Condition Category) Coding for Medical Providers: A Ten Part Video Series
Joint Sponsorship
Premiere Date: Monday, April 20, 2015This activity offers CE credit for:
- Physicians (CME)
- Other
All other clinicians will receive a Certificate of Attendance stating this activity was certified for AMA PRA Category 1 Credit™
Credit Expiration Date:
Wednesday, April 20, 2016
Note: Credit Is No Longer Available
 | Sam Breeding, MD Chief Medical Officer Holston Medical Group, PC |
Introductory price of $699 is being offered until August 31, 2015. Regular $999.
In 2004 Medicare implemented an HCC (Hierarchical Condition Categories) model to adjust capitation payments to Medicare Advantage plans for the health expenditure risk of their enrollees. The Centers for Medicare and Medicaid (CMS) Risk Adjustment Model measures the disease burden that includes 70 HCC categories (2014 model), which are correlated to diagnosis codes and funds the plan based on the projected needs of the patient.
Provider understanding of the HCC model is important for the financial viability of the Medicare Advantage Plan.
Video #1
1. What is HCC Coding
2. History of Risk Adjustment
3. Medicare Advantage Plans
4. Why Are HCC Codes Important
Video #2
1. Interactive Codes
2. Star Ratings
3. 10 Principles For the CMS-HCC Diagnostic Classification System
Video #3
1. Changes in 2015
2. HCC Categories 2015
Video #4
1. Coding Diabetes
Video #5
1. Coding Endocrine and Metabolic Disorders
2. Coding Obesity and Malnutrition
3. Coding Kidney Disease
4. Coding Vascular Disease
5. Coding Spinal Cord Disorders
Video #6
1. Coding Respiratory Arrest
2. Coding Skin Disease
Video #7
1. Coding Neurological Disease
2. Coding Lung Disease
3. Coding Liver Disease
Video #8
1. Coding Injuries
2. Coding Psychiatric Disease
3. Coding Heart Disorders
Video #9
1. Coding Other Gastrointestinal Diseases
2. Coding Eye Disorders
3. Coding for Cancer
4. Coding Bone and Joint Disease
5. Coding Cardiovascular Disease
Video #10
1. Coding Infections
2. Coding Immunity and Hematologic Disease
3. Coding Other Disorders
4. Common Coding Dysfunctions
At the end of this CE activity, participants should be able to:
- Describe the impact that diagnosis coding has on risk adjustment models
- Discuss the elements of the medical record used for diagnosis selection
- Apply the HCC risk adjustment model to your medical practice
Primary Care Physicians and Specialist Physicians who participate in Medical Advantage Plans.
CME Credit (Physicians):
CME Outfitters, LLC designates this live activity for a maximum of 7 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of CME Outfitters, LLC and Holston Medical Group. CME Outfitters, LLC is accredited by the ACCME to provide continuing medical education for physicians.
Post-tests, credit request forms, and activity evaluations must be completed online at www.cmeoutfitters.com/TST7001 (requires free account activation), and participants can print their certificate or statement of credit immediately (80% pass rate required). This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit www.neurosciencecme.com/technical.asp.
Disclosure Declaration
All faculty participating in CME Outfitters continuing education activities are required to disclose any conflict(s) of interest related to the content of their presentation(s) as defined by the ACCME's Standards for Commercial Support, and other accrediting and regulatory bodies. Full disclosure of faculty relationships will be made on this website and within the activity course materials prior to the premiere date of this activity.
Questions about this activity? Call us at 877.CME.PROS (877.263.7767).
HM-001-042015-00
