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Activity Provided By:

American Association of Colleges of Pharmacy

HCC and Risk Adjustment

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Overview / Abstract:

It’s important for coders to know HCC guidelines, but FIRST to understand the concept of risk adjustment and why it’s becoming the hottest new healthcare tool. Find out about the risk adjustment model for Medicare HCC, as well as the Medicaid model, and how commercial plans are now creating their own models. These models are changing the way healthcare payments are being viewed and processed. Among the topics discussed in the webinar are stars ratings and how they connect to quality of care initiatives.

You Will Learn:
The concept of risk adjustment as a healthcare tool
How these models can affect payment and reimbursement
How risk adjustment models aim to increase quality of care


Sep 03, 2020


Informatics / Coding / Billing CE





Credits / Hours


Presenters / Authors / Faculty

Mr. Boyce has spent the last five years dedicated to risk adjustment, and specifically the Medicare utilization of the HCC model. He has worked on the National level with a high profile company as Vice President of Clinical and Coding Services that served Medicare Advantage plans in the risk adjustment arena. He has spoken on the National circuit at risk adjustment events to include CMS conferences, and has attended official RADV (Risk Adjustment Data Validation) training at CMS headquarters in Baltimore, MD. Brian is regularly contacted by coders from virtually every big player in the risk adjustment market for his opinions, advice, and expertise.

Keywords / Search Terms

American Association of Colleges of Pharmacy

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