Coding Education/HCC University

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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 is needed to claim CME credit. Please use the link below to access the quarterly 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.

Amputation

Angina

Arrhythmia

Arthritis

Artificial Openings (Ostomies)

Asthma

Atherosclerosis

Autoimmune Disorders

Behavioral Disorders

Cancer

CHF

Coagulopathy

COPD

CVA

Dementia

Diabetes

Embolism/Thrombosis/Phlebitis

Epilepsy/Seizures

Hemolytic and Hemorrhagic Disorders

Hepatitis

Kidney Disease

Major Depressive Disorder (MDD)

Malnutrition

Myocardial Infarction (MI)

Morbid Obesity

Movement & Neuro Disorders

Peripheral Vascular Disease (PVD)

Pressure Ulcers

Substance Use Disorder


TRAINING PRESENTATIONS AND RESOURCES

Listed below are resource presentations to provide guidance on risk adjustment in clinical practice. 

QUARTERLY PRESENTATIONS


HELPFUL LINKS

Please see the links below to CMS and other coding resources.


CODING FAQ

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 12/7/2022 3:28:26 PM

 

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