HCC Coding - Cardiology Conditions Module

Thursday, June 1, 2023, 12:00 AM - Tuesday, December 31, 2024, 11:59 PM


AMA PRA Category 1 Credits™ (0.25 hours), Non-Physician Attendance (0.25 hours)

Welcome to the HCC Coding Series: Cardiology Conditions.  This course will cover the following Cardiovascular HCC Topics: Hypertensive heart disease, Congestive Heart Failure, Myocardial Infarction, Angina, Atherosclerotic heart disease, Cardiomyopathies and Arrhythmias. 

To claim credit for the HCC Coding Cardiology Conditions Module: 

1. View the HCC Cardiology Conditions Module by clicking on the Access Meeting/Content button above and signing into Sentara Workday.
2.  Upon the successful completion of the end of module quiz, you will be provided with an activity ID number to claim credit.
3.  After claiming credit, go to the MY CME tab to complete an evaluation.
4.  Credit hours will be reflected on your transcript, or you may download your certificate. 
   

1. Select specific HCC codes to better reflect the care being provided by the patient.
2. Increase the ability to support HCC codes with accurate and sufficient documentation
3. Apply the learned information regarding the specific codes and necessary documentation to obtain the maximum compensation and meet system-level goals.

Sentara Health is accredited by the Southern States CME Collaborative to provide continuing medical education for physicians.

Sentara Healthcare designates this Enduring Material activity for a maximum of 0.25 AMA PRA Category 1 Credit(s)^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Bibliography

•  American Academy of Family Physicians. (2020). Hierarchical Condition Category Coding. Retrieved from https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/hierarchical-condition-category.html#:~:text=HCC%20coding%20relies%20on%20ICD,adjustment%20factor%20(RAF)%20score.
•  American Heart Association. (2017). Ejection fraction heart failure measurement. Retrieved from https://www.heart.org/en/health-topics/heart-failure/diagnosing-heart-failure/ejection-fraction-heart-failure-measurement.
• American Hospital Association Coding Clinic. (1st Quarter 2019). Sick sinus syndrome controlled with implanted cardiac device, pages 33-34.
• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: APA.
• Bernard, S.P. (2018). Risk adjustment documentation and coding. Chicago, IL: American Medical Association.
• Centers for Medicare and Medicaid Services (2019). ICD-10-CM official guidelines for coding and reporting. Retrieved from https://www.cms.gov/Medicare/Coding/ICD10/Downloads/2019-ICD10-Coding-Guidelines-.pdf.
• Centers for Medicare and Medicaid Services. (2018). Risk Adjustment. Retrieved from https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Risk-Adjustors.
• Humana. (2019). Major depression/major depressive disorder.
• Mandal, A.K., Tagomori, G. K., Felix, R.V. & Howell, S.C. (2017). Value-based contracting innovated Medicare Advantage healthcare delivery and improved survival. American Journal of Managed Care; 23(2), 41-49.
• Optum360. (2018). 2019 ICD-10-CM Professional for Physicians. USA: Optum360, LLC.
• Optum 360 Encoder Pro. (2020). Disorder of arteries and arterioles, unspecified. Retrieved from https://www.encoderpro.com/epro/optum360ArticlesHandler.do?_k=201*I77.9&_a=list&idxpopup=false.
• Papadakis, M.A. & McPhee, S. J. (2013). Current medical diagnosis & treatment. The McGraw-Hill Companies, Inc.: USA.
• Smith, M.D., Ronnie. (2020). Quick HCC-RAF recognition tool. Vidalia, Georgia: Successful Health & Wellness Solutions, LLC.

Accessibility Statement
 
Sentara is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require special accommodations, including dietary concerns, please contact the CME Conference Coordinator.

Mitigation of Relevant Financial Relationships

Sentara Continuing Medical Education adheres to ACCME Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of an accredited activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.