5in5 Welcome to the 2021 UDC Program

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5in5 Welcome to the 2021 UDC Program
Welcome to the
2021 UDC Program

 55    in

 Monthly Tips and
 Live Q&A Session

 April 28th, 2021
 12:15 – 12:45 p.m.

                 HIGHMARK INC. CONFIDENTIAL AND PROPRIETARY – DO NOT DISTRIBUTE
                 HIGHMARK INC. CONFIDENTIAL AND PROPRIETARY – DO NOT DISTRIBUTE This information is subject to
                 change without notice. Updated January 2021. Please see the UCD Program Manual for program details
5in5 Welcome to the 2021 UDC Program
April 2021 TOPICS
Discussion Topics
1. Peripheral Vascular Disease (PVD)
    •   Be sure abnormal findings in ROS/PE are validated w/diagnosis
    •   Accurately report PVD when present
    •   If patient is also diabetic, link PVD to the diabetes
2. Medication Linking
    •   Medication list should always be paired with problem list
    •   In HPI or Assessment, indicate when a med is being used to treat a condition
    •   Meds that treat multiple conditions have to be linked
3. Quarter 4 2020 UDC Payments
    •   Payments are being finalized and will be sent out within the next 5 business
        days
    •   Final 2020 Progress Reports will also be posted to NaviNet for practices to
        access within the same period
4. UDC Portal Access
    •   All users needing access must be set up before they are able to login
    •   Access can be obtained by emailing UDCHelp@highmark.com providing the
        Users Name, email address, NaviNet User Name, Practice info
    •   Users no longer needing access –email UDCHelp so they can be removed
5. UDC Best Practice Spotlight
    •   Lisa, Washington Health System– thank you!

        HIGHMARK INC. CONFIDENTIAL AND PROPRIETARY – DO NOT DISTRIBUTE This information is subject to change
              without notice. Updated January 2021. Please see the UCD Program Manual for program details      2
5in5 Welcome to the 2021 UDC Program
Cancer Documentation Examples

 PVD validated but not supported:

   Documented in problem list only and abnormal PE not correlated to
   condition and not documented in assessment.

 PVD Supported with current status:

                                                                       3
Highmark Monthly Coding Knowledge College

WHAT: Live session that will focus on Stroke and Vascular Disease to
review strategies for improving your documentation and coding for risk
adjustment.

WHEN: May 12, 2021 from 12:15-12:45 p.m.

WHERE: Zoom webinar. Registration required using this link (may have
to copy/paste into browser):
https://highmarkhealth.zoom.us/webinar/register/WN_fQiHpkxOQ7OA
YoUcOi1ImQ

                  ADDITIONAL COURSE INFORMATION:
 This course will offer 0.5 AMA PRA Category 1 CreditTM for providers
                          and 0.5 CEU for coders

                                                                         4
UDC Best Practice Spotlight:
Lisa, Washington Health System
9 Offices
MA Membership: 2,151

        IT department                         The list from IT is
     generates a report                       used to identify                          Send the printed
   each week listing all                    Highmark patients                          forms for the next
    patients 65+ with an                     with an upcoming                          week to the office
   appointment the next                     appointment. Print                              contact
            week                               UDC eForms

                                            Provider circles the                       Responses from
     Forms are given to                    correct response on                        printed eForm are
   the provider the day                       the UDC eForm.                          recorded and the
    of the appointment                     Office contact sends                       medical record is
                                            forms back to Lisa                            uploaded

    • Every 2 weeks forms that were started and not
      submitted are reviewed
    • Every 2-3 weeks the UDC report is reviewed to                               UDC Form Submitted!
      identify opportunities to resubmit forms

      HIGHMARK INC. CONFIDENTIAL AND PROPRIETARY – DO NOT DISTRIBUTE This information is subject to change   5
       without notice. Updated February 2021. Please see the UCD Program Manual for program details.
Questions?
          UDCHelp@highmark.com
  This email address is available for practices to
 submit any type of questions related to the UDC
Program – questions about general documentation
   practices, specific documentation questions,
program rules, payments, specific questions about
           a particular Member’s Form

             HIGHMARK INC. CONFIDENTIAL AND PROPRIETARY – DO NOT DISTRIBUTE This information is subject to
             change without notice. Updated January 2021. Please see the UCD Program Manual for program details
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