This is ISAPN's newest program, building on the needs of new APRNs to learn how documentation, coding and reimbursement are tied together.
APRNs are in a prime position to formulate comprehensive problem lists that reflect the patient’s disease burden. These problem lists become a component of the Risk Adjustment Factor Scores (RAF) using the Hierarchical Condition Categories (HCC).
If the diagnosis list is incorrect or if it does not align with the HCCs, then the patient’s disease burden is seemingly decreased. Further, HCC coding is prospective: HCC coding done this year affects the RAF and funding for the following year. This has far reaching effects, as while the risk scores are reported annually, the slate is “wiped clean” on January 1st of each year and for this reason, they need to be fully reported on an annual basis.
The impact of under-coding the HCC scores reduces the RAF scores, which in turn decreases the annual expected expenditure for the following year.
Registration and Coffee will start at 8:00am and the program will end at 3:45pm. (Lunch will be provided)
This will be a 6 hr CE program.
This activity has been submitted to the Ohio Nurses Association for approval to award contact hours. The Ohio Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. (OBN-001-91)