ICD-10 Is Coming! The Benefits of Clinical Documentation Improvement Programs in Risk Adjustment

This session addresses the definition of ICD-10-CM and the importance of accurate coding. Emphasis is given to the requirements and specificity of documentation and the value that provider diagnosis and evaluation hold in connection.

Contact hours available until 9/20/2016.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation. You will be able to print your CNE certificate at any time after you complete the evaluation.

Faculty, Planners, Authors, and Speakers Conflict of Interest Disclosure:
Faculty, planners, authors, and speakers have no disclosures to declare.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Accreditation Statement:
This educational activity has been co-provided by Anthony J. Jannetti, Inc. and GAPNA.

Anthony J. Jannetti, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Anthony J. Jannetti, Inc. is a provider approved by the California Board of Registered Nursing, provider number, CEP 5387.

Objectives:

• Describe the CMS HCC Risk Adjustment payment methodology.
• Explain the purpose of a clinical documentation improvement program.
• Identify how clinicians can facilitate the risk adjustment process that impacts Medicare advantage plans through their documentation.
• Identify areas in both ICD-9 and ICD-10 CM that will enable improved data quality, determining HCC financial scores when more specific conditions are documented