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Physician Documentation Initiative: Clinical Documentation for Risk Adjustment (HCC and RAF Fundamentals)

  • Overview
  • Faculty
  • Content


Date & Location
Saturday, August 1, 2026, 7:00 AM - Thursday, December 31, 2026, 8:00 AM

Target Audience
Professions - Advance Practice Professional, Non-Physician, Nurse Practitioner, Physician, Physician Assistant, Resident

Credits
AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Attendance (1.00 hours)

Overview
Structured as a guided clinical workshop, the activity moves from foundational risk-adjustment principles into condition-specific documentation and hands-on knowledge checks: Foundations - Why documentation sits at the core of quality, compliance, revenue, and outcomes; how HCCs, RAF scores, and annual condition "reset" work. The MEAT framework - Applying Monitor, Evaluate, Assess, and Treat criteria so every reported diagnosis is fully supported. Condition-specific guidance - Detailed documentation and ICD-10-CM capture for morbid obesity and BMI, COPD subtypes and chronic respiratory failure, active versus historical and metastatic cancer, diabetes with complications and remission, CKD staging, depression, and substance use disorders. Annual Wellness Visit - Leveraging the AWV to capture chronic, stable conditions and distinguish "history of" from "chronic, stable." Best practices - Linking conditions, improving diagnosis specificity, and handling uncertain diagnoses compliantly. Knowledge checks - Ten interactive question-and-answer scenarios that let participants apply the concepts and self-assess.

Objectives
At the conclusion of this activity, learners will be able to:

  1. Define HCCs and explain their importance
  2. Describe documentation best practices
  3. Accurately record the acuity of each patient and the care provided

Accreditation
Our Lady of the Lake Regional Medical Center is accredited by the Southern States CME Collaborative to provide continuing education for physicians.


Additional Information

Cancellation Policy

Cancellations received in writing no less than 20 days before the course will be refunded, less a 20% administrative fee. No refunds will be made on cancellations received after that date. Please send cancellation requests to [email protected].

Our Lady of the Lake Continuing Medical Education reserves the right to cancel or postpone this program if necessary; in the event of cancellation, course fees will be fully refunded. We are not responsible for other costs incurred such as non-refundable airline tickets or hotel penalties.

Accessibility Statement
 
Our Lady of the Lake Continuing Medical Education is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require special accommodations, including dietary concerns, please contact the CME Conference Coordinator.


Our Lady of the Lake Continuing Medical Education adheres to ACCME Criteria, Standards and Policies regarding industry support of continuing medical education. Disclosure of faculty and their commercial relationships will be made prior to the activity.

Mitigation of Relevant Financial Relationships

Our Lady of the Lake Health Office of Academic Affairs adheres to the Southern States CME Collaborative to provide accredited continuing education for physicians. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Member Information
Role in activity
Nature of Relationship(s) / Name of Ineligible Company(s)
Dema Leclerc
,
Activity Administrator
Nothing to disclose
Ashley Ingram
,
Activity Coordinator
Nothing to disclose
Christy Limbers, RN, BSN
,
Co-Director
Nothing to disclose
Christopher Funes
,
Course Director
Nothing to disclose
Caroline Mei, RN
,
Faculty
Nothing to disclose

Physician Documentation Initiative: Clinical Documentation for Risk Adjustment

Structured as a guided clinical workshop, the activity moves from foundational risk-adjustment principles into condition
specific documentation and hands-on knowledge checks:

Foundations - Why documentation sits at the core of quality, compliance, revenue, and outcomes; how HCCs, RAF scores, and annual condition "reset" work.

The MEAT framework - Applying Monitor, Evaluate, Assess, and Treat criteria so every reported diagnosis is fully 
supported.

Condition-specific guidance - Detailed documentation and ICD-10-CM capture for morbid obesity and BMI, COPD 
subtypes and chronic respiratory failure, active versus historical and metastatic cancer, diabetes with complications and 
remission, CKD staging, depression, and substance use disorders.

Annual Wellness Visit - Leveraging the AWV to capture chronic, stable conditions and distinguish "history of" from 
"chronic, stable."

Best practices - Linking conditions, improving diagnosis specificity, and handling uncertain diagnoses compliantly.
Knowledge checks - Ten interactive question-and-answer scenarios that let participants apply the concepts and self
assess.

Launch Scorm

Franciscan Missionaries of Our Lady Health System
The Franciscan Missionaries of Our Lady Health System is one of the largest healthcare systems based in Louisiana and is the leading healthcare provider for more than half of Louisiana's population, as well as serves Mississippi's largest metropolitan area. The health system is a non-profit, Catholic organization sponsored by the Franciscan Missionaries of Our Lady. Headquartered in Baton Rouge, Louisiana, the ministry serves patients in Louisiana and Mississippi through a network of hospitals, clinics, physicians, elderly housing and integrated systems.
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