CODING & QUALITY KNOWLEDGE COLLEGE
Additional HCC coding courses are available to assist with risk adjustment documentation and coding according to CMS standards and ICD-10 coding requirements. Beginning in April 2022, the live sessions will take place the second Wednesday of every quarter from 12:15 p.m. – 12:45 p.m. Each session is eligible for 0.5 AMA PRA Category 1 CME credit. Preregistration for each session is required and an AHN CME account in needed to claim CME credit. Please use the link below to access the monthly registrations and the instructions below for setting up your CME account with AHN if you don’t already have one.
The information provided is intended to assist with support for the documentation accuracy of the diagnoses codes reported to Highmark and not intended to influence clinical or coding judgement. Information regarding any law or regulation does not constitute legal or tax advice and is subject to change based upon the issuance of new guidance and/or change in laws or regulations. Providers should still reference official ICD-10-CM coding guidelines and manuals or electronic coding software for accurate reporting of compliant diagnosis codes.
DOCUMENTATION AND CODING REFERENCE CARDS
Listed below are guides to assist with documentation and coding according to CMS documentation standards and ICD-10-CM coding requirements. These are a listing of some of the commonly encountered conditions in the primary care setting but are not an exhaustive list of every condition. Check back regularly as new conditions may be added based on current trends and coding guideline changes.
Artificial Openings (Ostomies)
Hemolytic and Hemorrhagic Disorders
Major Depressive Disorder (MDD)
Myocardial Infarction (MI)
Movement & Neuro Disorders
Peripheral Vascular Disease (PVD)
Substance Use Disorder
TRAINING PRESENTATIONS AND RESOURCES
Listed below are resource presentations to provide guidance on risk adjustment in clinical practice.
Please see the links below to CMS and other coding resources.
If you have questions about risk adjustment documentation and coding, please send an email to RiskAdjustmentCoding@Highmark.com to be answered by our coding team. As questions are answered, FAQ documents will be posted with the Q&A.
Please note that answers will be provided based on current CMS and coding regulations and will not direct clinical care. Please do not send any emails containing PHI.
Last updated on 5/2/2022 9:35:20 AM