MACRA will change the current types of payment models and providers must understand and focus on the importance of clinical documentation, including how documentation and coding will be critical in capturing acuity, severity and chronic patient conditions.
Under the MACRA framework, healthcare providers who provide better quality of care will be rewarded. Collected data that is gathered under these requirements will impact provider reimbursement by 2019 and providers need to understand the impact, as well as how to better quantify and qualify patient data.
In this session, expert speaker Gail Ann Madison-Brown will discuss the current quality programs that will be combined and streamlined into the Medicare Accèss and CHIP Reauthorization Act (MACRA). She will discuss Hierarchical Condition Category (HCC) coding and provide examples of specific diagnosis codes related to HCCs to understand the impact of HCC diagnosis coding on a provider’s Risk Adjustment Factor (RAF). Gail will also provide tips on improving clinical documentation with examples to assist in improved and more specific coding of patient services.
Additionally, Gail will discuss the selection of HCC codes and frequency of review, as well as provide an overview of MACRA components and payment methodologies.
Who should attend?
- Jill M. Young
Gail Madison-Brown has extensive experience in healthcare compliance, revenue cycle, auditing and coding programs. She has over 25 years of experience as a Registered Nurse and many years as an attorney. She has spoken for professional healthcare organizations, as well as for state public health departments.... More Info