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Provider Training

Absolute Total Care is proud to have you as a part of our network of participating physicians, hospitals and other healthcare professionals. To assist you in improving the healthcare outcomes of our members and your patients, we offer a variety of trainings, outlined below. 

Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan) partners with all of our contracted providers to ensure that you have received the necessary education and training to deliver quality care to our members and your patients and to be compliant with Centers for Medicare & Medicaid Services (CMS) and South Carolina Department of Health and Human Services (SCDHHS) requirements.

 

Absolute Total Care Healthy Connections Medicaid partners with all of our contracted providers to ensure that you have received the necessary education and training to deliver quality care to our members and your patients and to be compliant with Centers for Medicare & Medicaid Services (CMS) and South Carolina Department of Health and Human Services (SCDHHS) requirements.

Absolute Total Care network providers are required to complete an annual Model of Care training. Click on the link below to review the Model of Care self-study and self-study letter. Then, submit the form to verify the training was completed.

Virtual New Provider Orientation Trainings

*Stay Tuned for Future Opportunities!*

 

Clinical Documentation Improvement (CDI) Webinar Series

Risk Adjustment, Coding and Documentation Education

Join us for discussions that include: an overview of risk adjustment and how it impacts you; tips to improve documentation and coding; and tips to stay compliant with regulatory requirements.

Webinars are open to providers, non-physician providers, coders, billers and administrative staff.

Advance registration is required. Utilize the corresponding registration link provided for each topic to register (links are unique to each webinar).  If you have questions or need assistance with registration, email us at: CDIWebinars@centene.com

 

How to Conduct an Internal Risk Adjustment Chart Review with Feedback

Four Strategies to Help Improve HCC Coding Accuracy

Ins and Outs of Pediatric Risk Adjustment Coding *CEU Approved

Top Missed and Confusing HCC Codes: with Case Studies

How to Select the Proper ICD-10 Code in Just 5 Steps *CEU Approved

Enhancing Diabetes Outcomes through Accurate HCC Coding

Marketplace Risk Adjustment 101: with Case Studies

The Coder's Playbook for Success with Risk Adjustment

HCC Coding of Neoplasms Made Simple *CEU Approved

Medicare Risk Adjustment Overview *CEU Approved

Breaking Down HCC Coding for Behaviroal Health and Substance Use *CEU Approved

How to Select the Proper ICD-10 Code in Just 5 Steps *CEU Approved

Unpacking Healthcare Risk Adjustment *CEU Approved

Medicaid Risk Adjustment 101: With Case Studies

ICD-10 Clinical Concepts for OB/GYN *CEU Approved

A Comprehensive Overview of HCC Coding for Diseases of the Respiratory System *CEU Approved

Navigating Annual Wellness Visits: Types and Benefits

Risk Adjustment Documentation and Coding: A Deep Dive *CEU Approved

Learning from HCC Coding Mistakes: A Path to Improvement using Case Studies *CEU Approved

The Importance of Accurate Documentation & Coding: A Provider's Perspective *CEU Approved

Part 1 - Applying 2025 ICD-10-CM Guidelines: Conventions and General Coding Guidelines *CEU Approved

Part 2 - Applying 2025 ICD-10-CM Guidelines: Chapter Specific Guidelines for Chapters 1-14

Part 3 - Applying 2025 ICD-10-CM Guidelines: Chapter Specific Guidelines for Chapters 15-21 and Diagnostic Coding and Reporting Guidelines for Outpatient Services

Cultural Humility and Unconscious Bias Provider Training

All Absolute Total Care network providers are required to complete an annual Cultural Competency training. Please click on the link below for more information and to register. 

Cultural Humility and Unconscious Bias in Healthcare (PDF)

 

Additional Provider Training Opportunities

Microlearning Strategies

We value everything you do to deliver quality care for our members–your patients–and to make sure they have a positive healthcare experience.

There are several behavioral health measures that providers can directly impact related to follow-up care for mental illness or substance use disorders, medication adherence, and metabolic monitoring.

That's why we've created...

Behavioral Health HEDIS® PowerPoint® Microlearnings.

These 8–20-minute trainings gives you the tools you need to meet, document and code HEDIS measures.

Purpose: The purpose of the trainings are for medical and behavioral health providers to recognize the intent of the Behavioral Health HEDIS measures and share strategies to impact quality care and outcomes for our members.

Target Audience: Medical and Behavioral health Providers, including licensed and unlicensed health care professionals and office staff.

Duration: 8-20 mins each

    Measure ImpactNameDescriptionAccess
    ECHOEnhancing Member Experience with Behavioral Health Care Services: Experience of Care and Health Outcomes (ECHO) Survey 

    Purpose: To provide staff and providers awareness and strategies to enhance our health plan members' satisfaction and experience with mental health and substance use services. 

    Duration: 20 mins. 

    		Enhancing Member
    Experience with Behavioral Health Care Services: Experience of Care and Health Outcomes (ECHO) Survey
    AMM, SAA  Antidepressant Medication Management and Antipsychotic
    Medication Adherence: Optimizing the Impact of the AMM and SAA HEDIS®
    Measures 

    Purpose: For staff and providers to recognize the intent of the AMM and SAA behavioral health HEDIS Measures and share strategies to impact quality care and outcomes for our members.  

    Duration: 10 mins. 

    		Antidepressant Medication Management and Antipsychotic Medication  Adherence: Optimizing the AMM and SAA HEDIS® Measures
    FUH, FUMFollow-Up Care After a Hospital or Emergency Department Visit for Mental Illness: Optimizing the Impact of the FUH and FUM HEDIS® Measures

    Purpose: For staff and providers to recognize the intent of the FUH and FUM Behavioral Health HEDIS measures and share strategies to impact quality care and outcomes for our members. 

    Duration: 8 mins.

    		Follow-Up Care After a Hospital or Emergency Department Visit for Mental  Illness: Optimizing the FUH and FUM HEDIS® Measures 
    FUA, FUI, IETInitiation and Engagement, Follow-Up After Emergency Department or High Intensity Care for Substance Use Disorders: Optimizing the Impact of the IET, FUA, and FUI HEDIS® Measures 

    Purpose: For staff and providers to recognize the intent of the IET, FUA, and FUI Behavioral Health HEDIS measures and share strategies to impact quality care and outcomes for our members.’ 

    Duration: 10 mins 

    		Initiation and Engagement, Follow-Up After Emergency Department or High Intensity Care for Substance Use Disorders: Optimizing the IET, FUA, and FUI HEDIS® measures
    APM, SMC, SMD, SSD  Strategies to Improve Cardiovascular, Diabetes, and Metabolic Monitoring: APM, SSD, SMC, and SMD HEDIS® Measures 

    Purpose: For staff and providers to recognize the intent of the APM, SSD, SMC, and SMD behavioral health HEDIS Measures and share strategies to impact quality care and outcomes for our members.  

    Duration: 10 mins 

    		Strategies to Improve Cardiovascular, Diabetes, and Metabolic Monitoring: APM, SSD, SMC, and SMD HEDIS® Measures 
    COU, HDO, POD, UOP Strategies to Minimize the Risk of Opioid Overuse and Misuse: COU, HDO, POD, UOP HEDIS® Measures 

    Purpose: For staff and providers to recognize the intent of the POD, COU, UOP, and HDO Opioid related HEDIS Measures and share strategies to impact quality care and outcomes for our members.  

    Duration: 9 mins. 

    		Strategies to Minimize the Risk of Opioid Overuse and Misuse 
    ADD, APP

    Optimizing the Impact of the ADD and APP HEDIS® Measures: Follow-Up Care for Children Prescribed Medication for ADHD and the Use of Psychosocial Care for Children and Adolescents Prescribed Antipsychotics 

    Purpose: For staff and providers to recognize the intent of the ADD and APP behavioral health HEDIS Measures and share strategies to impact quality care and outcomes for our members.  

    Duration: 10 mins. 

    		Optimizing the Impact of the ADD and APP HEDIS® Measures 
    AMM, FUH, IET (Ambetter QRS Measures)Antidepressant Medication Management, Follow-Up After Hospitalization for Mental Illness, and Initiation and Engagement of Substance Use Disorder Treatment: Optimizing the AMM, FUH, and IET HEDIS® Measures 

    Purpose: For staff and providers to recognize the intent of the AMM, FUH, and IET behavioral health QRS HEDIS Measures and share strategies to impact quality care and outcomes for our members.  

    Duration: 13 mins. 

    		Ambetter: AMM, FUH, and IET Measure