Coding Education/HCC University
Last Updated: Monday, September 09, 2024
Coding & Quality Knowledge College
Additional HCC (Hierarchical Condition Category) coding courses are available to assist with risk adjustment documentation and coding according to Centers for Medicare & Medicaid Services (CMS) standards and ICD-10 coding requirements. The live sessions will take place the second Wednesday of every month from 12:15 p.m. – 12:45 p.m. Each session is eligible for 0.5 AMA PRA Category 1 CME credit. Preregistration for each session is required and an AHN CME account is needed to claim CME credit. Please use the link below to access the monthly registrations and the instructions below for setting up your CME account with AHN if you don’t already have one.
The information provided is intended to assist with support for the documentation accuracy of the diagnoses codes reported to Highmark and not intended to influence clinical or coding judgment. Information regarding any law or regulation does not constitute legal or tax advice and is subject to change based upon the issuance of new guidance and/or change in laws or regulations. Providers should still reference official ICD-10-CM coding guidelines and manuals or electronic coding software for accurate reporting of compliant diagnosis codes.
Use the link below to register for a session
Monthly Coding & Quality Knowledge College
An AHN CME account is required to claim CME credit for the courses. Instructions for setting up your account are provided in the link below.
Use the link below to find previously recorded sessions
On-Demand Coding Knowledge College Presentations
These presentations are accurate as of the dates they were presented but may change pursuant to regulatory requirements for this program or in response to changing business needs. The contents of these presentations are the property of Highmark Inc., Highmark Health, and/or its subsidiaries (“Highmark”). The information contained in these presentations is confidential and proprietary and is not to be distributed to any outside person(s) or entit(ies) without the express written consent of Highmark.
Disease Burden Capture Videos
Chronic conditions present challenges, not only from a diagnosis and treatment perspective, but also from a documentation standpoint. Accurate disease burden capture of your patients’ complete health status can increase the quality of care that they receive. To help you and your team fully and precisely document patients’ chronic conditions, Highmark has released a series of brief, informative videos.
Featuring Dr. Frank Colangelo, an internist and primary care physician, the videos provide a list of “dos and don’ts” for achieving accurate disease burden capture. Videos are available on the following topics:
- Chronic Conditions – Commonly Missed Diagnoses
- Chronic Kidney Disease (CKD)
- Congestive Heart Failure (CHF)
- Chronic Obstructive Pulmonary Disease (COPD)
- Dementia
- Diabetes
- Major Depressive Disorder (MDD)
- Senile Purpura
- Vascular Disease
Documentation and Coding Reference Cards
Included at the link below are guides to assist with documentation and coding according to CMS documentation standards and ICD-10-CM coding requirements. These are a listing of some of the commonly encountered conditions in the primary care setting but are not an exhaustive list of every condition. Check back regularly as new conditions may be added based on current trends and coding guideline changes.
Training Presentations and Resources
Listed below are resource presentations to provide guidance on risk adjustment in clinical practice.
- 2024 Risk Adjustment Overview
- Risk Adjustment Overview
- HCC Model V28 Documentation Considerations
- Annual Wellness Visit and Risk Adjustment
If you experience an issue with the video* links above, please refresh your browser. If the issue persists, contact resourcecenter@email.highmark.com.
Video Disclaimer
*By accessing the videos above, I understand that I am leaving the Highmark PRC website and will be redirected to an external website operated by a third-party platform provider. Any use of the third-party platform provider’s website and any information you provide will be subject to and governed by the terms of the third party, including those relating to confidentiality, data privacy, and security.
Helpful Links
Please see the links below to CMS and other coding resources.
Coding Questions
If you have questions about risk adjustment documentation and coding, please send an email to RiskAdjustmentCoding@Highmark.com to be answered by our coding team.
Please note that answers will be provided based on current CMS and coding regulations and will not direct clinical care. Please do not send any emails containing PHI.
