Ongoing Events
Think Cultural Health
SummaCare is committed to improving cultural health competency network-wide. We encourage our providers to receive training on health equity, cultural competency, bias, diversity and inclusion including the U.S. Department of Health and Human Services, Office of Minority Health free, continuing education e-learning (Culturally and Linguistically Appropriate Services in Maternal Health Care, Behavioral Health, Oral Health) programs designed to help health care professionals provide culturally competent care.
For more information about provider training on health equity, cultural competency, bias, diversity and inclusion, please contact your Provider Engagement Specialist at providerengagement@summacare.com.
Hierarchical condition category (HCC) Coding
Hierarchical condition category (HCC) coding is a risk-adjustment model originally designed to estimate future healthcare costs for patients. Based on the HCC system, providers need to document all health conditions to the appropriate specificity level for CMS to ascertain the patients’ true health status which impacts the risk adjustment payment. Read more about HCC Coding here.
Upcoming Events
Annual Provider Updates Webinar
Wednesday, October 11, 2023
9:00 a.m. – 10:30 a.m.
Topics will include:
- Office Visit Evaluation & Management Coding Post-2021 and 2023 Guidelines from coding expert William C. Fiala, MA, CCS-P, CPC, RMA
- HEDIS Updates
- Pharmacy Updates
- 2024 SummaCare Medicare Advantage plan highlights
- Physical & Mental Health Star Measures
- Plan Updates and Reminders
Past Events
Annual Provider Updates Webinar (2022)
Hosted on Wednesday October 5, 2022
9:00 a.m. – 10:30 a.m.
Topics will include:
- Coding updates from coding expert William C Fiala, MA, CCS-P, CPC, RMA
- Health Services Management programs
- Pharmacy highlights
- 2023 SummaCare Medicare Advantage plans
- Claims processing updates
Click here to review the recording.
Click here to view the slide deck.
Marketplace Risk Adjustment
Hosted on Tuesday November 16, 2021
7:30 a.m. – 8:30 a.m.
Topics included:
- Marketplace focus: engagement and access
- HCC Coding and Risk Adjustment
- Changes to reporting office visit codes
- Reporting problem-oriented services during preventive visit
Click here to review the recording.
Click here to view the slide deck.
Annual Provider Update Webinar
Hosted on Tuesday October 5, 2021
9:00 a.m. – 11:00 a.m.
Topics included:
- Hierarchical Condition Coding from coding expert William C Fiala, MA, CCS-P, CPC, RMA
- 2022 SummaCare Medicare Advantage updates
- Teladoc Health
- Pharmacy updates
- HEDIS, CAHPS, HOS measure updates
Click here to review the recording.
Click here to view the slide deck.
SummaCare Vendor Spotlight
Hosted on February 23, 2021
Presented by SummaCare Provider Engagement and our partners, this Webex covered:
- Papa: Medicare’s Family On-Demand benefit
- Cognisight: Healthy Home Visits for eligible members
- Inovalon: HCC coding and SOAP notes through the ePass tool
Annual SummaCare Provider Update Webinar
Hosted on October 7, 2020
Access the presentation for the following topics:
- Coding- Documentation requirement changes for 2021 office visit codes
- SummaCare’s Healthy Home Monitoring Program with Medtronic
- HEDIS measure update
- 2021 SummaCare Medicare Plans
- Announcements and member campaigns and surveys
Provider Education Seminar: SummaCare Patient Re-engagement Strategies
Learn more about the following by watching the video below:
- How to re-engage patients during the COVID-19 pandemic (e.g. in-office safety precautions, telehealth visits)
- What Quality Care Gap measures can be performed using telehealth visits (e.g. behavioral health) and which require an in-office visit (e.g. immunizations)
- Incentive dollars available for using ePass to enter patient HCC codes
- Best practices for HCC coding (e.g. AWV, COVID-19, Depression, Diabetes)
