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Stay current on all the news that matters to you with our blog: MRA Alerts and Updates

MRA Alerts and Updates
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Opioids: What’s an “Outlier Prescriber”? Listening Session — September 17 Tuesday, September 17 from 4:30 to 6 pm ET Register for Medicare Learning Network events. Are you a physician, nurse practitioner, other advanced practice nurse, or physician assistant who prescribes opioids? CMS wants your input on how best to implement Section 6065 of the SUPPORT Act.  Signed into law in October 2018, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act) outlines national strategies to help address opioid misuse. As part of Section 6065 of the SUPPORT Act, CMS is required to notify opioid prescribers with prescription patterns identified as “outliers” compared to their peers and encourage them to reference established opioid prescribing guidelines.  The purpose of this listening session is to get feedback on the following topics: Methodology to establish outlier prescriber thresholds Tone and content of feedback reports to clinicians How to best identify a “medical specialty” from the National Provider Identifier framework How to define geographic areas for analysis Recommendations on opioid prescribing guidelines to include with the notification You are encouraged to review the following materials before the call: SUPPORT Act Centers for Disease Control and Prevention (CDC) Guideline 2016 CDC Advisory Food and Drug Administration Safety Alert Target Audience: All prescribing clinicians.
MRA Alerts and Updates
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JOIN US IN ORLANDO on MAY 15TH FOR THE LAST WORKSHOP OF THE YEAR.   Are you looking for the best education available in risk adjustment, value-based payments and/or CDI?   Good News - You have found it! Join us for a day of risk adjustment, catch up with colleagues over lunch, and get the best tools in the industry for FREE! Do you need CMEs or CEUs? We have that too! Workshops are approved by the American Medical Association, American Academy of Family Practice for 6 hours of CME and the American Academy of Professional Coders for 7 hours of CEUs. Overview: CMS confirms new HCCs for PY2020 – What should your team be doing now to prepare? ·       EDPS is here to stay – How can you ensure accurate risk scores with the transition away from RAPS? ·       Work Smarter not Harder – Take a deep dive into HCC coding… Who Should Attend? Medical Coders and Billers Providers, Managers and Frontline Staff CDI Specialists Executive Leaders ACO, MSO and IPA Teams Rural Health Centers Health Alliance Members Medicare, Medicaid and Commercial Plans REGISTER BELOW: For Orlando on 5/15/2019 To SPONSOR an EVENT Please email Kameron Gifford
MRA Alerts and Updates
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HCC CODERS / AUDITORS  ERM Consulting is looking for several HCC Coders and Auditors for remote and on-site positions.  HCC Coders / Auditors will be primarily responsible for conducting reviews of medical records and validating submitted diagnoses codes to ensure all diagnoses and services are accurately and completely coded.  HCC Coders / Auditors will also support a variety of other efforts including but not limited to: Identifying errors / opportunities in clinical documentation and coding.  Tracking and trending audit results and preparing reports. Identifying members with "dropped" and / or "suspect" HCC conditions.  Completing supplemental data reports for clients.  Onsite education and training for providers and coders. Facilitating efficient and effective interventions to ensure accurate and complete coding.  PLEASE NOTE- LOCATION is Fort Lauderdale, Florida for on-site positions.  What you'll do: Review submitted medical records and identify and code all ICD-10-CM diagnoses that map to a Risk Adjusted HCC and/ or RxHCC ensuring the documentation meets all CMS standard requirements for valid HCC submission. Oversee the outreach/intervention strategy and participates in ongoing development to determine best practices approach with members and providers to assist in improving risk adjustment factors. Work with clients to optimize risk adjustment efforts including communicate opportunities to collaborate and provide updates regarding risk adjustment efforts. To be considered for this position, you must have: High School Diploma or equivalent Current AAPC CPC (Certified Professional Coder) or AHIMA CCS (Certified Coding Specialist) credential is required. CRC (Certified Risk Coder) Certification within 6 months post hire. 5+ years recent experience in medical record review, diagnosis coding, and/or auditing is required. 8+ years general coding and / or billing experience. An equivalent combination of education and experience may be substituted for this requirement. The strongest candidates for this position will also possess: An Associate's degree from an accredited college or university. Experience with Medicare and/or Commercial risk adjustment Experience with Medicare and/or Commercial risk adjustment process is preferred. Experience/understanding of electronic medical & health records is preferred. Please email resumes to Kameron Gifford -



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