Improving Chronic Disease Maintenance through Clinical Risk Adjustment
This course will give providers an understanding of rating diagnoses properly based on severity of a patient’s illness and Risk Adjustment Factor (RAF) score. This course will also provide knowledge of EPIC tools available for Hierarchical Condition Category (HCC) work. Proper documentation will not only ensure patient safety but also the rating of provider cost efficiency and quality scores in managing chronic conditions.
This course is intended for Family Practice and Internal Medicine Physician, NPs and PA and any provider needing a brush up on Hierarchical Condition Category's (HCC’s).
At the end of this session, learners should be able to:
- Describe what a HCC is
- Understand Documentation Requirements
- Identify diagnoses that increase the severity of the patients illness/RAF Score
- Knowledge of Epic tools available for the HCC work
Victoria Ruetten, Director Clinical Risk Adjustment; Advocate Aurora Health
Afreen Rana, HCC CDI Chart Auditor; Advocate Aurora Health
Wilson Gabbard, VP Clinical Risk Adjustment; Advocate Aurora Health
John Brill, MD; Advocate Aurora Health
David Enevoldsen, CRCR; Optum Advisory Services
Gabby Ahrens, Consultant; Optum Advisory Services
Reavis Eubanks, Associate Medical Director; Optum Advisory Services
Morgan Haines, Revenue Cycle Management; Optum Advisory Services
Linda Schatz, RN, BSN, CCDS, Director; Optum Advisory Services
The planner(s) and speaker(s) have indicated that there are no relevant financial relationships with any ineligible companies to disclose.
Advocate Aurora Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit Designation Statement
Advocate Aurora Health designates this enduring material for a maximum of 1.0 AMA PRA Category 1 credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Participation information will be shared with the ABIM through the ACCME Program and Activity Reporting System (PARS).
- 1.00 AMA PRA Category 1 Credit™Aurora Health Care is accredited by the Wisconsin Medical Society to provide continuing medical education for physicians. Aurora Health Care designates this activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
- 1.00 AttendanceAttendance Credit
- 1.00 Approved AMA PRA Category 1 Credit™
- 1.00 ABIM MOC Part IISuccessful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
This course is available to Advocate Aurora providers (employed and independent) and caregivers only. If you are not already logged in, please use log in to access the course. If you need help enrolling or logging in, please contact Advocate Aurora Health CME Office at email@example.com
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