Understanding Diabetes for Coders and Quality Teams – November 24, 10:00 AM Pacific Time

Diabetes carries significant weight in both risk adjustment and quality measurement, yet coders and quality teams often work from diagnosis codes without a working knowledge of the disease process behind them. This session provides a foundational overview of diabetes pathophysiology, including type distinctions, complications, and common treatment approaches. Attendees will learn how to identify and code diabetes-related complications correctly, understand associated HCC categories and their impact on risk adjustment, and recognize relevant Category II CPT codes used for quality reporting. The goal is to connect clinical understanding directly to coding accuracy and performance metric capture.