Empirical Risk Management

Phone: 772-210-2823

Fax: 772-210-2824

Kameron Gifford, CPC

772-267-9453

Todd Gifford, MBA

772-267-8156

ERM has a NEW Blog:

MRA Alert

Join us for upcoming workshops, conferences, webinars and other trainings.  

Advanced V28 Risk Adjustment Workshops

• Vast changes are coming to Medicare Risk Adjustment in 2025 and beyond. Is your team ready?
• Discuss the importance of managing HCCs year over year. What resources are available from CMS to help? When is the Advanced Notice published?
• What are the components of a risk score? How will CMS calculate risk scores for 2025 and 2026?
• Review NEW and updated HCCs for V28. What documentation is needed to validate payment?
• Sharpen your Auditing Skills – Group review of clinical documentation and coding for HCCs.
• Take a deep dive into the grey areas and red flags of HCC coding and clinical documentation. See what your team should and should not be coding.

Join us for an exciting summer Lunch and Learn Series! Register your specialists, primary care providers, coders, auditors, and education team! Includes four webinars (1.5 hours each) covering clinical documentation and HCC coding for a total of 21 CMS-HCC Disease Groups. Each session is approved for 1.5 CEUs from the AAPC and/or 1.5 CMEs from the AAFP.  All attendees will receive a copy of the presentation and pdf “cheat” sheets for each disease group.

Disease Groups Included:

Medicare Risk Adjustment 101 – Diabetes, Vascular, Pulmonary, Heart and Arrest

Medicare Risk Adjustment 102 – Endocrine, Kidney, Psych, Cognitive and Neurological

Medicare Risk Adjustment 201 – Neoplasms, Blood, Immune, Transplant and Openings

Medicare Risk Adjustment 202 – Musculoskeletal, Gastrointestinal, Cerebrovascular, Liver, SUD, and Skin

Dates and Registration Links:

Medicare Risk Adjustment 101 – 5/21/2024, 12:30 pm to 2:00 pm EST

https://events.eventzilla.net/e/medicare-risk-adjustment-101-2138605516

Medicare Risk Adjustment 102 – 6/19/2024, 12:30 pm to 2:00 pm EST

https://events.eventzilla.net/e/medicare-risk-adjustment-102-2138605513

Medicare Risk Adjustment 201 – 7/17/2024, 12:30 pm to 2:00 pm EST

https://events.eventzilla.net/e/medicare-risk-adjustment-201-2138605512

Medicare Risk Adjustment 202 – 8/14/2024, 12:30 pm to 2:00 pm EST

https://events.eventzilla.net/e/medicare-risk-adjustment-202-2138605509

Who Should Attend?

• Specialists and Primary Care Providers
• Risk Adjustment Managers and Directors
• Risk Adjustment Coders, Billers, Auditors and CDI Professionals
• Provider Education Teams
• Health Plans, ACOs, IPAs, MSOs and Medical Practices

NEW DATES ADDED - If you work in risk adjustment, you won’t want to miss this opportunity! Compliance has never been more important than it is today! What can we learn from RADV and OIG audits to optimize performance and reduce compliance risks? Join us to discuss current industry topics and trends that impact your risk adjustment operations.

This Webinar will cover the following topics:

• Risk Adjustment Data Validation – Purpose, Process and Audit Methodology
• OIG – Purpose, Process and Audit Methodology
• Key Takeaways from RADV and OIG Audit Results
• Navigating Red Flags and Grey Areas to Ensure Compliance
• Risk Adjustment Best Practices
• Lessons Learned and Important Next Steps

Who Should Attend?

• Risk Adjustment Managers and Directors
• Risk Adjustment Coders and Auditors
• Compliance Professionals
• Medical Directors, Physicians and Providers

Dates and Registration Links:

Wednesday, April 17, 2024 - https://events.eventzilla.net/e/radv-and-oig-lessons-learned-and-next-steps-2138605814

Wednesday, May 15, 2024 - https://events.eventzilla.net/e/radv-and-oig-lessons-learned-and-next-steps-2138605809

Approved by the AAPC for 2 CEUs – Register your team (3 or more) and save 10%.

Upcoming V28 Webinars 

Prepare your TEAM for SUCCESS in 2024!!

Are you looking for the BEST V28 Risk Adjustment Education? If so, GREAT NEWS – you found it! Register today for the ALL NEW V28 Webinars! Tickets are ON SALE until 12/31 for $19.99 each – receive a 10% discount when you purchase 3 or more tickets for any event. All webinars are approved for 2 AAPC / AHIMA CEUs.

Introduction to V28 Risk Adjustment

January 24, 2024, 1:00 PM to 3:00 PM

Registration Link:  https://events.eventzilla.net/e/introduction-to-v28-risk-adjustment-2138610289

Agenda:

• Discuss the NEW V28 CMS Risk Adjustment Model.
• Review Updated HCC Categories and Diagnoses.
• Key Steps to Take Now for Success in 2024.
• Approved for 2 CEUs from AAPC / AHIMA.

Master HCC Coding for V28

February 28, 2024, 1:00 PM to 3:00 PM

Registration Link:  https://events.eventzilla.net/e/master-hcc-coding-for-v28-2138610288

Agenda:

• Discuss the Rules of the Road for Risk Adjustment.
• Review the Most Common HCCs per MedPac.
• Master Documentation and Coding for HCCs in V28.
• Approved for 2 CEUs from AAPC / AHIMA.

V28 Risk Adjustment Optimization

March 27, 2024, 1:00 PM to 3:00 PM

Registration Link: https://events.eventzilla.net/e/v28-risk-adjustment-optimization-2138610291

Agenda:

• Calculate Risk Scores and Payments for V28.
• Identify Potential Areas of Impact in 2024.
• Steps to Optimize Risk Adjustment Operations.
• Approved for 2 CEUs from AAPC / AHIMA.

JOIN US FOR A DAY OF RISK ADJUSTMENT - UPDATED for V28

June 23, 2023

https://events.eventzilla.net/e/advanced-risk-management-and-hcc-coding-for-vbp--online-2138592758

July 21, 2023

https://events.eventzilla.net/e/advanced-risk-management-and-hcc-coding-for-vbp--online-2138592752

August 25, 2023

https://events.eventzilla.net/e/advanced-risk-management-and-hcc-coding-for-vbp--online-2138592754

September 29, 2023

https://events.eventzilla.net/e/advanced-risk-management-and-hcc-coding-for-vbp--online-2138592749

Workshops / Webinars Written and Produced By