TCI SuperCoder

RADV is a process used by CMS to verify that dx codes submitted by the plan are supported by documentation in the patient's record and to validate accuracy of payment data submitted by plan and ultimately the accuracy of payments to the plan ~ #RiskAssessment session at #HCON18

Big laughs here! "Suspect logic is like BBQ sauce. Everyone thinks they have the best recipe, but no one wants to reveal what's in that recipe," says Brian Boyce, CEO of @ionHealthcare, speaker of "Risk Adjustment" session at #HCON18.

"If you're not using those noncompliant codes (such as, a diabetic patient not actually following diet advice), then you really should, so the physician doesn't get dinged for that patient not improving," says Raemarie Jimenez, "Impact of Potential E/M Guideline Changes." #HCON18

"If we went to time only, we have to be able to account for prep time BEFORE the MD walks into the room," says Raemarie Jimenez, "Impact of Potential E/M Guideline Changes." Beware if the time billed goes way over what the MD could've possibly done that day. #HCON18

With higher deductibles, patients aren't coming in every 3 months; they come in once a year and want MDs to take care of everything at that visit. May account for the higher E&M levels being reported. ~ Raemarie Jimenez, "Impact of Potential E/M Guideline Changes" #HCON18

We all had to move to the seats inside of the aisles to make room for more people, because this session is PACKED ~ Raemarie Jimenez, "Impact of Potential E/M Guideline Changes" #HCON18

Good advice for ALL #medicalcoders looking at surgery claims: In your op notes, you can often find missing pieces of information in the indications paragraph, says Linda Young, "Heart Valves" session. #HCON18

"We need to bring our cardiology and cardio surgery coders together," says Linda J. King in "Heart Valves - Open and Transcather Replacements." The attendees all nodded their heads! #HCON18

"First gene therapy was manipulating cells to attack leukemia," says Kenneth Ward in the "Medical Uses of Next Generation Sequencing" general session. Gene therapy is used in cancer more than anything else. #HCON18