1. Healthcare

Affordable Care Act Seminar
California Health Information Association
1915 N FINE AVE STE 104
FRESNO CA 93727-1565
The Affordable Care Act;
Understanding Risk
Adjustment and
Hierarchical Condition
Category Codes
Seminar
Speakers
Nancy Andersen, MS, RHIA,
CCS, AHIMA Approved
ICD-10-CM/PCS Trainer
Nancy Hirschl, BS, CCS,
AHIMA Approved ICD-10-CM/PCS Trainer
& Ambassador
This program is approved for six CEUs
by AHIMA, AAPC and BRN.
Registration Accepted By:
Fax: (559) 251-5836
Mail: 1915 N Fine Ave Ste 104, Fresno CA 93727-1565
Online registration available at www.CaliforniaHIA.org
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PRIMARY MAILING ADDRESS
Tuesday, February 24, 2015
Dublin, CA
Thursday, February 26, 2015
Newport Beach, CA
Feb 24– Dublin
(Check one)
Feb 26 – Newport Beach
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submitted with your registration by TUESDAY, February 3rd.
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Affordable Care Act Seminar
Expansion of risk-adjusted payment models in
Medicare, Medicaid and Commercial insurance plans
further solidify the importance and strategic role of
comprehensive physician documentation and
accurate diagnosis coding. The introduction of
diagnosis-based Medicare managed care payment in
2000 (Hierarchical Condition Categories (HCC)) and
its subsequent adoption by other payers including
Medicaid and now Health Insurance Exchanges
(HIXs), calls attention to the critical need for
reporting and measuring patient severity of illness,
risk of mortality and quality outcomes. HCCs have
been used as the platform from which ICD-9-CM
coded data impacts all of the above.
This session will present detailed information
regarding the Medicare HCC model as well as current
future adaptations by other insurers. Important
topics to be covered include the fundamentals of
HCC payment methodology, data reporting
requirements and impact on providers, insurers and
health information professionals.
At the conclusion of this program, participants will
gain an understanding of hierarchical condition
categories (HCCs) and risk adjustment payment
model.
Important topics to be covered include a discussion
of the HCC payment methodology, including
Medicare Part C and the impact of the Affordable
Care Act (ACA), and Commercial Payers on the HCC
risk adjustment model.
Participants will:
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Understand the basic concepts of HCCs and
the Medicare Advantage payment
methodology
Learn about the components of risk
adjustment
Gain an understanding of key
documentation requirements for risk
adjustment and HCCs regardless of payor
type
Review information on the Coding of HCCs
Practice reviewing some case examples
Identify key similarities and differences
between Medicare Part A/B and Medicare
Part C/D
Identify key concepts of the ACA as it
relates to risk adjustment and
reimbursement
Gain an understanding of key compliance
risks, challenges, and CMS audits
Tuesday,
February 24
Thursday,
February 26
Holiday Inn
6680 Regional St
Dublin CA 95814
Ph (925) 828-7750
Radisson
4545 MacArthur Blvd
Newport Beach CA 92660
Ph (949) 833-0570
Parking is complimentary.
Parking is complimentary.
BART accessible, West
Dublin Station
REGISTER by Feb 3, 2015 & Save!
CHIA Members $145
Non Members $185
CHIA Student Members $110
REGISTER after Feb 3, 2015*
CHIA Members $190
Non Members $230
CHIA Student Members $155
*On-site registrations are welcome on a space-available basis.
A $20.00 fee will be added to above registration fee.
Program Schedule
7:30 am Registration/Beverages and Pastries
8:30 am Program
12:00 pm Networking Lunch (included)
1:00 pm Program
3:45 pm Adjournment
Speakers
Nancy Andersen, MS, RHIA, CCS, AHIMA
Approved ICD-10-CM/PCS Trainer
Senior Compliance Manager, Kaiser Permanente National
Compliance, Ethics & Integrity Office
Nancy Hirschl, BS, CCS, AHIMA Approved ICD10-CM/PCS Trainer & Ambassador
Executive Vice President, Superior Global Solutions, Inc.
Online registration available at
www.CaliforniaHIA.org/events-calendar
Who Should Attend
HIM Directors, Patient Financial Services Staff. General Finance
Staff, Coding Managers/Supervisors, Inpatient and Outpatient
Coders, Chargemaster Coordinators, Charge or Coding
Auditors, Compliance CDI Specialists, Data Analysts, and
others in health care settings who work with clinical
documentation and code information. This seminar is
appropriate for any setting of care with reimbursement based
on an HCC model.
Payment Policy
Full payment is required with your completed registration
form. A copy of an approved check request is acceptable when
submitted with the registration form.
Pre-Registration Cut-off
Registration must be received seven days prior to the
seminar date or it will be considered an on-site registration
and on-site fees will apply.
Cancellations and Substitutions
Cancellation received up to seven days before the seminar is
refundable, minus a $30 registration service charge.
Cancellations received within seven days of the seminar may
request to have a portion of the paid registration fee applied
toward a future CHIA seminar (must be used within 12
months). This request must be made in writing and the
registration service charge will still apply. If you do not cancel
and do not attend, you are responsible for full payment.
Substitutions may be made, and the appropriate member or
non-member fee will apply to the substitute. To make a
cancellation or substitution, e-mail the CHIA Executive Office
at [email protected].
Continuing Education
This program has been approved for six continuing education
units for use in fulfilling the continuing education requirements
of AHIMA’s Commission on Certification for Health Informatics
and Information Management (CCHIIM). This program meets
the ICD-10-CM/PCS education requirements for AHIMA
certified professionals. AAPC: AHIMA CEUs are accepted from
programs sponsored by AHIMA national offices and the state
AHIMA branches hour for hour; program approved for six
CEUs. Provider approved by the California Board of Registered
Nursing; provider number 05474 for six contact hours.
Certificates of attendance will be provided.
HIM Domain: External Forces and Performance Improvement.
Event Number 511/512
Special Requests
If you have a special need, indicate what accommodations you
require on your registration form.
Conference Attire
Due to variations in room temperature we suggest you wear
layered clothing to ensure your comfort.
Sponsor
Sponsored by the California Health Information Association
(CHIA), an affiliate of the American Health Information
Management Association, providing educational programs for
over 65 years.