Provider Education

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

Check back for upcoming events.

Past Events

Annual Provider Updates Webinar

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:

1. Papa: Medicare’s Family On-Demand benefit
2. Cognisight: Healthy Home Visits for eligible members
3. 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)