Coding Tips

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Questions




If you have questions or need assistance, call our Provider Relations Department at:

1-714-246-8600

Monday through Friday from 8 a.m. to 4 p.m. Pacific Time

Coding Tips

In CalOptima’s ongoing efforts to ensure we report accurate coding and proper chart documentation as required by the Centers for Medicare and Medicaid Services (CMS), we have created coding tips on various topics to assist the provider community.

Coding Reference Guide 2018PDF File Indicator Image

Chronic Kidney DiseasePDF File Indicator Image

Chronic Obstructive Pulmonary Disease (COPD)PDF File Indicator Image

CMS Risk Adjustment Data Validation Audit ProtocolPDF File Indicator Image

Diabetes MellitusPDF File Indicator Image

Documentation Compliance StandardsPDF File Indicator Image

Hierarchical Condition Categories Compliance (HCC)PDF File Indicator Image

Major Depressive DisorderPDF File Indicator Image

NeoplasmPDF File Indicator Image

Progress NotesPDF File Indicator Image

Peripheral Vascular DiseasePDF File Indicator Image

Substance AbusePDF File Indicator Image

Presentations

Risk Adjustment Data Validation (RADV) Audit OverviewPDF File Indicator Image

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