top of page

RESOURCES FOR HEALTHCARE LEADERS

Stay Informed with the Latest in Healthcare Strategy, News, and Insights

Explore Chelsea Management Group's comprehensive resource hub featuring press releases, industry news, blog posts, podcasts, interviews, and event updates. Stay ahead with expert insights, innovative strategies, and the latest developments in healthcare leadership, value-based care, and risk adjustment.

What can you do to mitigate the impact of the Centers for Medicare & Medicaid Services (CMS) Hierarchical Condition Codes (CMS-HCC) risk adjustment model Version 28? This course reveals a proactive approach to mitigating the potential negative impact of Version 28 through proper identification of diseases and conditions coupled with addressing, assessing, and properly treating those diseases. It follows clinical and coding guidelines to address diagnoses and conditions for which the risk adjustment factor has been eliminated or reduced. It does this through a disciplined approach of reviewing co-morbid conditions, alternative diagnoses, and improved specificity. In all cases, the primary purpose is to treat the patient's diagnoses and conditions to improve the quality of life for the patient. CME/CE credits and certificates awarded.


Developed by Dennis P.H. Mihale, MD, MBA, CHCQM-PSRM and Julio C. Perez, MD, AHCCA.  For more info, to sign up, or purchase this course, click here CMS-HCC Risk Adjustment Model Version 28: Be Proactive

 



At FLAACOs on March 20, 2024 Dr. Dennis Mihale delved into the transition to CMS-HCC Model Version 28 and discussed how to embrace the change as an opportunity and unlock the potential for success in the evolving healthcare landscape. Key discussions included:


*Financial Impact Assessment: Identify co-existing codes to maximize reimbursement.

 *Diagnostic Criteria Understanding: Navigate the complexities of diagnostic criteria for accurate coding.

 *Code Validation and Compliance: Ensure coding practices align with compliance standards.


To learn more about these strategies, schedule a meeting with Dr. Mihale at (813) 494-6987 or dmihale@chelseamanagementgroup.com



At the 2024 FLAACOs Annual Fall Conference, Dr. Dennis Mihale presented strategies to maximize HCC and HEDIS scores across Value Based Programs to improve Quality of Life for your patients, Reduce Total Cost of Care and Improve Payment Integrity. For more information about this conference or to review the presentation, contact Dr. Dennis Mihale at (813) 494-6987 or dmihale@chelseamanagementgroup.com

bottom of page