Introduction to Medicaid Quality & Risk Adjustment Programs 2019

This course is designed to assist with the understanding of Medicaid Quality and Risk Adjustment Programs, review risk assessment and quality and documentation and coding.

Target Audience

Physicians, Nurse Practitioners, Physician Assistants, and Physician Practice Staff

Learning Objectives

Upon completion of this activity, participants will be able to:

•  Define Risk Adjustment as applicable for Medicaid providers
•  Define Quality Programs as applicable for Medicaid providers
•  Recognize the difference between substandard and appropriate medical record documentation
•  Describe how appropriate ICD-10-CM diagnosis coding and documentation impact Risk Adjustment
•  Describe how appropriate documentation impacts Quality Programs
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 1.00 Attendance
Course opens: 
07/08/2019
Course expires: 
07/08/2019
Evolent Health
United States

Tim Buxton, MBA, CPC, CPC-I, CIC, COC, CRC, CCS, CHP – Associate Director, Risk Adjustment Coding and Audit, Evolent Health

All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above.  No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

 

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of  (1.0)  AMA PRA Category 1 CreditsTM. Each physician should only claim credit commensurate with the extent of their participation in the activity.

 

Other health care professionals are awarded (0.1) continuing education units (CEU) which are equivalent to (1.0) contact hours. 

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 1.00 Attendance
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