Physician Documentation is paramount to the success of any Plan’s financial reimbursement schedule. However, many physicians are not aware of the unique documentation requirements under the Medicare Advantage program and can benefit from education on documentation and federal guidelines.

Peak’s Educational Programs are:

Performed on-site and face to face.
Easily and effectively performed via remote access (i.e., Webinars).
Peak’s Physician Documentation Educational Series can provide the following educational benefits for physician and non-physician practitioners alike, regardless of medical specialty or health care setting.

Physician Education:

Emphasizes accurate portrayal of services through complete, precise and legible provider documentation.
Communicates techniques for improving the quality and integrity of clinical documentation, specifically in regard to documentation of diagnostic information.
Creates ‘data bridges’ within clinical documentation to support all provider work accomplished in each members encounter.
Quantifies the value of a physician query process and its impact on accurate provider ICD-9-CM code reporting to the Plan.
Explains the fiscal impact of accurate clinical documentation.
Reviews the unique documentation requirements of Medicare Parts C & D, e.g., the requirement for annual re-documentation of all chronic conditions and illnesses.
Reviews CMS requirements for documentation, e.g., examples of acceptable and unacceptable provider identifiers.
Identifies documentation errors or insufficiencies that impact the assignment of ICD-9-CM codes thereby influencing the final HCC assignments.
Reviews the HCC assignment process, in general, for provider recognition of the relationship of their documentation to the Plan’s reporting requirements to CMS.
Reviews compliance standards and recent federal audit findings as they relate to each provider’s documentation input.