Hierarchical Condition Categories
AHIMA Approved – 1 CEU
Join us to explore the ins, outs and critical details of the HCC model. We will evaluate the HCCs and associated hierarchies, including impact on reimbursement under value based care. From payer plans and beneficiaries to risk analysis and predictive expenditures, this webinar covers the HCC program in detail for HIM professionals.
Who should attend:
Coders, CDI, DRG Reviewers, Coding Managers, HIM Managers or Directors, Director of Patient Accounts, Billers, Providers
What attendees can expect:
Relationship between hierarchies and reimbursement defined
Role assessment in value based purchasing
Outline of the HCC hierarchy and how it will be issued in combination with fee-for-service to compensate organizations participating in ACOs and MSSPs
Best practice documentation requirements
A link to the CMS website listing HCCs
Webinar Host (click to view bio)
Valerie Fernandez, MBA, CCS, CPC, CIC CPMA
AHIMA Approved ICD-10-CM and ICD-10 PCS Trainer
Valerie Fernandez has an MBA from Drexel University and possesses over 20 years of progressive healthcare management experience with roots in the Philadelphia Pennsylvania area. Valerie has a Bachelor’s degree from the University of South Florida in Education and she is currently a PhD candidate in Public Service Leadership with a concentration in Healthcare at Capella University.
Currently she is the Manager of Coding Program Development at H.I.M.ON CALL. Responsibilities include developing and presenting pertinent topics of interest to hospital administrators, executive leadership, physicians, coders, and clinical documentation improvement specialists.
Previously an Assistant Director of Health Information Management at the Hospital for Special Surgery, responsibilities focused on implementation planning for the transition to ICD-10 that included financial impact analysis, readiness assessments, training, and support for physicians, leadership, and ancillary staff in the hospital and the affiliated physician practices.
Valerie previously held the position of Revenue Manager at Weill Cornell Medical College Department of Neurological Surgery. Responsible for coding, compliance, revenue maximization and fiscal management.
Valerie is an active member of the American Academy of Professional Coders and AAPC and throughout her career she provided training to physicians, ancillary staff, and other members. She later secured the position of President of the Midtown Manhattan Chapter and subsequently the Manhattan Chapter. Valerie is also a member of AHIMA and is an approved ICD-10 CM and ICD-10 PCS trainer.
Valerie teaches outpatient and inpatient facility coding and billing at Hunter College in the Department of Continuing Education and she is an accomplished writer with articles published in and submitted to Healthcare Billing and Management Journals.