Procedures
CPC, CRC and/or CCS
What are the requirements for each coding educator and/or nursing educator to take complete provider outreach and education?
Important first step in all presentations
What is introduction of yourself and audience?
52 topics
What is the amount of condition specific topics we currently have?
Aug. 8th
What is the deadline for all mock evaluations to be completed?
Acronym recommended by Aetna to assist with documentation
What is M.E.A.T?
MONITOR. EVALUATE. ASSESS/ADDRESS. TREAT
This form is signed by you and your supervisor before taking this course
What is the acknowledgement form?
Do this on the same day as any presentation, regardless of how many times you have presented
What is practice?
Document that has the correct codes
What is the Case Study Answer Sheet?
After mock evaluations are passed off, this is the next item passed off.
What is first provider presentation?
Year 2022
What is the payment year that CMS began solely relying upon Encounter Data Systems to calculate risk scores
This is sent out in your follow up/thank you email after an education presentation.
What is the survey link?
Where the materials can be found after all mock evaluations are passed off
What is SharePoint?
The correct document to read your presentation off of
What is the Condition Guide Talking Points?
Coding educators responsibility
What is schedule mock evaluations?
collection of medical records by vendors, and/or Aetna for this
RADV and OIG audits
When the surveys are filled out the results are retrieved by
Who is the territory coach, April Logue?
Do this to keep your audience awake and involved in the session
What is call on Volunteers?
The leave behind for all condition specific topics
What is the Condition Guide?
Coding Educator and Evaluator (Nursing Educator)
Who will be on the mock evaluation?
Contact information for Aetna listed on all large decks (powerpoints)
What is RiskAdjustment@Aetna.com
No material can be shared or distributed.
What does the acknowledgement form say about documents?
All education materials are updated this often
What is annually?
This is stated at the beginning of all case studies
What is the legal disclaimer?
Six presentations
How many total mock evaluations to be done in total?
CDPS Medicaid Risk Adjustment
HHS-HCC Exchanges
CMS-HCC Medicare
RxHCC Medicare - Drug
What are the Risk Adjustment Models