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e4health to Host Medicare Advantage HCC Model Changes Webinar

The CMS Medicare Advantage model change from V24 to V28 is a significant event with important implications. 

To keep you updated and informed about the changes, Kim Felix, RHIA, CCS and Jeanie Heck, CCS, CPC, CRC, ICD-10-CM Approved Instructor, will host a webinar on Tuesday, August 22 at noon. This webinar will be worth 1 AHIMA/AAPC CEU and will cover the following:

  • Why the changes are taking place
  • What Medicare Advantage looks like today
  • Overview of the V28 model including category changes and the timeline
  • Review of ‘Constraining’ and Disease Interactions
  • Deep dive into the significant eliminations and additions included in V28 and how to prepare for this impact

Click here to register for the webinar: https://attendee.gotowebinar.com/register/5422237627380451164

Ensure Risk Adjustment Readiness

Kim and Jeanie will then host an additional six concise and informative mini webinars to ensure your Risk Adjustment readiness. Topics covered during the six mini webinars are provided below.  Ensure these upcoming presentations are marked on your calendar!

Wed, 9/13 @ noon EST: Intro to Risk Adjustment/HCCs & Coding/Documentation Tips

Tues, 9/19 @ noon EST: Body System Specific Discussion- HCCs found in Infectious Diseases, Neoplasm, Diseases of Blood, Endocrine Disorders (including Diabetes)

Tues, 9/26 @ noon EST: Body System Specific Discussion- HCCs found in Behavioral Health, Diseases of the Nervous, Circulatory and Respiratory Systems

Tues, 10/3 @ noon EST: Tuesday, 10/3 at noon: Body System Specific Discussion- HCCs found in Diseases of the Digestive, Skin and Subcutaneous, Musculoskeletal and Genitourinary Systems

Tues, 10/17 @ noon EST: Tuesday, 10/17 at noon: Body System Specific Discussion- HCCs found in Pregnancy (for HHS), Congenital Abnormalities, Signs/Symptoms, Injuries/Poisonings and Z codes

Tues, 10/24 @ noon EST: Review of Frequently Missed Opportunities and Common Pitfalls

About the unparalleled expertise and background of our speakers

Kim Felix, RHIA, CCS

Director of Education

Kim Felix, RHIA, CCS has over 30 years of HIM coding experience including coder, auditor, manager, and educator.  Education experience includes adjunct faculty at Temple University, Anne Arundel Community College, Gwynedd-Mercy College, Pierce College, Thomas Jefferson University and Study Mentor at Western Governors University.  Presented at various nationwide conferences.   Project manager for CMS HHS-RADV (Risk Adjustment Data Validation Audit) from 2016 to present. Developed ICD-10 training program, provides continual education sessions for clients and internal staff, developed CCS Preparatory Workshop and has published various articles in HFMA’s Revenue Cycle Strategist.  Most recently received PHIMA’s 2023 Distinguished Member Award.

Jeanie Heck, CCS, CPC, CRC, ICD-10-CM Approved Instructor

Education Consultant

Jeanie Heck, CCS, CPC, CRC, ICD-10-CM Approved Instructor has over 30 years of experience as an expert physician and coder educator for CPT, ICD-10-CM and an accomplished Evaluation and Management auditor. She has been the lead senior auditor for the CMS HHS-RADV (Risk Adjustment Data Validation) audit for the past 7 years.  She works with documentation improvement for coding integrity and HCC coding.  Jeanie provides education regarding coding, auditing, and billing to physicians and their staff.

She is currently an adjunct faculty member at Camden County College and Santa Barbara City College teaching various coding courses. Her management positions include Director of Education, Coding and Billing Director, Practice Manager, and Business Manager. Ms. Heck’s most recent speaking engagements include topics such as Missed Opportunities in Coding and Billing, HCC Overview, and What you Need to Know about Risk Adjustment. She recently co-authored an article for the Revenue Cycle Strategist magazine entitled “Are you Ready for MACRA and MIPS? The New Healthcare Payment Reform”