Medicare AdvantageDocumentationMedium impact
Provider diagnosis documentation: Updates to Medicare Risk Adjustment/HCC
UPMC Health Plan·PA·Coding
Effective date
Jan 24, 2024
We identified it
Aug 7, 2026
Summary
UPMC Health Plan is hosting a CME-accredited educational webinar on January 24, 2024, to train providers on updated Medicare Advantage risk adjustment and HCC coding documentation requirements. The session covers diagnosis documentation best practices, ICD-10-CM coding specificity, and CMS updates to the Medicare Advantage risk adjustment model to improve accurate code reporting.
Action Required
By January 24, 2024: Providers and coding staff should attend or review the recorded webinar on diagnosis documentation and HCC coding updates for Medicare Advantage patients. Billing team and clinical providers should implement improved diagnosis documentation practices emphasizing ICD-10-CM code specificity based on webinar guidance. Update provider encounter templates and coding review processes to reflect best practices for Medicare Advantage risk adjustment coding. Certified coders should register to earn 1.0 CEU (AAPC) and CME credits.