Provider Documentation and Coding - Educational CME webinar: Cancer Documentation and ICD-10-CM Coding

Mar. 2024Education/Webinars
Please join UPMC Health Plan’s Risk Adjustment/HCC Coding Education Program Director Marlana Tice for a live, continuing medical education (CME)-accredited webinar on Thursday, May 16, from noon to 1 p.m., that will provide an overview on cancer documentation and ICD-10-CM Coding.

During this presentation, viewers will gain a comprehensive understanding of official documentation and coding guidelines needed for proper cancer reporting, focusing on:
  • “History of” documentation.
  • Definitions of active disease/treatment vs. monitoring for recurrence.
  • Solid tumors vs. lymphoma vs. leukemia.
  • Primary vs. secondary (metastatic).
  • Documentation examples for proper ICD-10-CM code assignment.

Presenter:

Recent Announcements

The importance of PRD forms for complex patients and staying updated on changes

Personal representative designation (PRD) forms are critical to the care process for patients and providers alike. Not only do PRDs support accurate, efficient, and compliant patient care—they also streamline administrative processes.
Aug. 2025Important Notices

Important announcement: UPMC Health Plan retires MP.PA.147

This communication is in regards to UPMC Health Plan Policy MP.PA.147 – Diagnostic and Surveillance Colonoscopy, 18 Years Old and Older. UPMC Health Plan previously communicated that the prior authorization requirement under this policy would be paused until Sept. 1, 2025. However, policy MP.PA.147 has been retired, and this policy will no longer be implemented or active.
Aug. 2025Important Notices

CMS expands Medicare Advantage RADV audits to all eligible plans

On May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) announced a substantial expansion of its Risk Adjustment Data Validation (RADV) audit program for Medicare Advantage plans.
Aug. 2025What's New