Provider diagnosis documentation: Updates to Medicare Risk Adjustment/HCC
Nov. 2023Important Notices
Please join UPMC Health Plan’s Risk Adjustment/HCC Coding Education Program Director Marlana Tice for a live, CME-accredited webinar on Wednesday, Jan. 24, from noon to 1 p.m., that will provide an overview on provider diagnosis code documentation. During this presentation, viewers will learn:
Presenter:
Marlana R. Tice, BA, CCS-P, CPC, CCS, AHIMA-Approved ICD-10-CM/PCS Trainer, Program Director, Risk Adjustment-HCC Coding Education, UPMC Health Plan
Register now. This webinar will be recorded.
Certified coders may earn 1.0 CEU from the American Academy of Professional Coders (AAPC).
You may earn continuing medical education (CME) credits for attending this webinar. This activity is approved for AMA PRA Category 1 Credit™ and ANCC. Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
Provider is responsible for verifying CME eligibility.
- An understanding of diagnosis documentation and ICD-10-CM coding importance for Medicare Advantage patients.
- Examples of best practice documentation for diagnoses as it relates to notable CMS changes and updates to many ICD-10-CM codes/HCC in the new Medicare Advantage risk adjustment model.
- Ways to improve diagnosing, documenting, and reporting codes with better specificity based on ICD-10-CM classification.
Presenter:
Marlana R. Tice, BA, CCS-P, CPC, CCS, AHIMA-Approved ICD-10-CM/PCS Trainer, Program Director, Risk Adjustment-HCC Coding Education, UPMC Health Plan
Register now. This webinar will be recorded.
Certified coders may earn 1.0 CEU from the American Academy of Professional Coders (AAPC).
You may earn continuing medical education (CME) credits for attending this webinar. This activity is approved for AMA PRA Category 1 Credit™ and ANCC. Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
Provider is responsible for verifying CME eligibility.
Recent Announcements
Community Care Behavioral Health is excited to announce this free upcoming web-based training opportunity:
A growing body of U.S. and international research demonstrates that the rapid legalization and commercialization of gambling—including online casinos and mobile sports betting platforms—are associated with significant and escalating gambling related harm. Although Pennsylvania specific prevalence data remain limited, available evidence is increasingly concerning, with gambling disorder linked to alarmingly high rates of suicide, psychiatric comorbidity, and social and financial harm. Drawing on lessons from the tobacco and opioid crises, this presentation will examine how delayed recognition and regulation can amplify population level harm, underscoring the need for earlier screening, prevention, and policy engagement. Participants will gain practical guidance on identifying patients at elevated risk, implementing evidence informed screening and diagnostic strategies, and applying current treatment approaches across the lifespan.May 2026Education/Webinars
Bridging Smiles and Systems: Collaborative Care for Children with Chronic Conditions
Please join us for a live, CME-accredited and CEU-accredited webinar on May 13 from noon to 1p.m., that will explore the critical connection between oral health and pediatric chronic conditions such as diabetes, asthma, congenital heart disease, and ADHD.Apr. 2026Education/Webinars
Certified Community Health Worker (CCHW) Provider Billing Notification
UPMC for You will now reimburse for up to three certified community health worker (CCHW) visits per member per calendar year for Medicaid recipients, per the Pennsylvania Department of Human Services (PA DHS).Apr. 2026Important Notices