About Regional Training

The Regional Training program is designed for individuals new to the risk adjustment process.

The primary audience for the Regional Training program is:

  • Staff of new Medicare+Choice (M+C) organizations, demonstration projects, Program for All-Inclusive Care of the Elderly (PACE) organizations, and third party submitters.
  • Existing staff that were unable to attend previous training sessions.
  • New staff at the existing organizations mentioned above.

The audience may include, but is not limited to nurse auditors, health care audit managers, medical directors, programmers, information systems analysts, provider relations’ staff, program managers, operations managers, and chief financial and information officers.

Risk Adjustment Training Tracks!

Attendees will enjoy the opportunity to share in a cross-functional environment during two general sessions, and have an opportunity to discuss more function-specific issues during the specialized two-track sessions.

Track 1 – Information Systems
This track will focus on the information needs of systems/information technology staff who are primarily responsible for the submission of the risk adjustment data to CMS. Individuals who attend this session may include, but are not limited to:

  • programmers
  • information systems analysts
  • database analysts
  • program administration managers
  • claims managers
  • data analysis managers
  • operations managers
  • chief information officers
  • information technology consultants
  • system integration managers

Track 2 – Quality & Compliance
This track will focus on the information needs of participants responsible for data collection and communication with providers. Individuals who attend this session may include, but are not limited to:

  • provider relations staff
  • compliance coordinators
  • utilization nurses
  • compliance officers
  • quality improvement coordinators
  • business analysts
  • medical records managers
  • project directors
  • financial directors
  • medical directors

Recommended Review: Participation in the Getting Started video training program, especially Module 3, (CMS, Medicare, and Medicare+Choice), Module 4 (Background of Risk Adjustment Methodology), and Module 5 (Overview of the Risk Adjustment Process) is recommended.

Registration is required for admittance to this training session, and will be conducted on a first-come, first-served basis. The training site is limited to 100 people.

To register fill out the Online Registration Form.