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:

  • 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

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.
Feb. 2026Education/Webinars

February 2026 UPMC for You and UPMC Community HealthChoices formulary update

Pulmicort Flexhaler has a new distributor, Rubicon Holding. National Drug Codes (NDCs) for Pulmicort Flexhaler from Rubicon Holding are not included in the Medicaid Drug Rebate program and are not covered under the Medicaid Prescription Drug Program. Pulmicort Flexhaler NDCs from the previous manufacturer, H2 Pharma, have been discontinued but may be billed/dispensed until supplies are exhausted.
Feb. 2026Pharmacy Updates

CME Webinar: American Foundation for Suicide Prevention’s ‘Talk Saves Lives’ Program

Please join us on Tuesday, April 28, from noon to 1 p.m. for “Talk Saves Lives: An Introduction to Suicide Prevention.” This live, CME-accredited webinar is the American Foundation for Suicide Prevention’s flagship suicide prevention education program. It covers the scope of this leading cause of death, warning signs and risk factors for suicide, and strategies to prevent it.
Feb. 2026Education/Webinars