Documentation and coding
Complete and accurate documentation and coding support quality care for our members by providing a complete description of members’ health status and enhancing communication among providers.
Adhering to ICD-10-CM Official Guidelines for Coding and Reporting is essential for accuracy.
Documentation and coding resources
- Quick reference guide with ICD-10-CM codes
- Documentation and coding essentials
- Documentation Tips: Type 2 diabetes mellitus in remission
- Documentation Tips: Heart failure
- Documentation Tips: Obesity
- Documentation Tips: Substance use, abuse and dependence
- Documenting diagnoses: SOAP and MEAT tools
- ICD-10-CM acute, history and sequela codes
- Submitting claims with more than 12 diagnosis codes
More information: Visit our Availity® Essentials HealthSpring Medicare Advantage payer space for more resources, including our ICD-10-CM documentation and coding partnership guide. It has extensive information on reporting common conditions.
Sharing health data
Secure, standardized data sharing can support quality patient care and help close care gaps.
- Learn how to share supplemental clinical data with us.
- Review how to access your local Health Information Exchange.
Prospective Program Comprehensive Assessment
Many of our Medicare Advantage members have a Comprehensive Assessment as part of their yearly health checkup benefit. It combines aspects of a physical exam, wellness visit and preventive care at no added out-of-pocket cost.
See our Prospective Program Comprehensive Assessment overview booklet to review program objectives, benefits for you and your patients, and a coding guide. Contact your HealthSpring representative to learn more.