Risk Adjustment 101

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 to participant providers
  • Identify the importance of Risk Adjustment in patient care
  • Recognize the difference between substandard and appropriate medical record documentation
  • Describe how appropriate ICD-10-CM diagnosis coding and documentation impact Risk Adjustment
  • Explain the use of the Patient Assessment Form (PAF) in prospective Risk Adjustment efforts
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: 
09/30/2020
Course expires: 
09/30/2021
Evolent Health
United States

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

No relationships with industry relevant to the content of this educational activity have been disclosed.

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.

In support of improving patient care, this activity has been planned and implemented by the University of Pittsburgh and the Pennsylvania Chapter American Academy of Pediatrics. The University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The University of Pittsburgh School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

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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