On a recent episode of the miniVHAN podcast, host Mallory Yoder discussed best practices in risk-adjustment coding with Victor Legner, MD, a geriatrician with expertise in clinical documentation and coding integrity. Dr. Legner outlined some of the most common and complicated health conditions that benefit from risk-adjustment coding. In the following Q&A, Dr. Legner offers further insights on coding for depression, diabetes, obesity, heart failure as well as guidelines for better patient communication.

VHAN’s Adult Behavioral Health Consult Line offers primary care providers a real-time phone consultation by a licensed clinical social worker to help manage patients’ mental health needs. Shannon Brown, LCSW, answers some FAQs. to help members better understand this service.

As young people graduate from high school and move into a new phase of early adulthood, it’s a good time to focus on moving these patients to adult care. Read the full article to get details on how VHAN’s Pediatric to Adult Transitions Quick Reference Guide can help your practice in this area.

Between the increase in mental health diagnoses and a shortage of mental health specialists nationwide, primary care providers have taken on increased involvement in treatment mental health concerns. To help our members and patients navigate these issues, VHAN offers helping tools and resources.

Every January, many health plans change their preferred insulin products on their formularies, creating confusion and frustration for patients, prescribers and pharmacies. A few simple strategies can help make this shift more efficient for providers and patients. Read the full article to learn how you can tweak your prescribing practices to reduce delays and ensure your patients get the medications they need.

Studies show that cancer screenings have declined since the pandemic disrupted health care in 2020, and they haven’t yet returned to pre-pandemic levels. Unfortunately, this will cause fewer cases of cancer and other serious illnesses to be caught early, likely creating sicker patients in the long run. VHAN has tools and resources available to help members increase cancer screening rates and educate patients about their importance.

To bolster mental health awareness and education, the miniVHAN podcast chose Behavioral Health Through the Lifespan for its recent series. Expert guests offered insights to help providers and their patients better understand and cope with anxiety and depression, neurodiversity, trauma and grief.  

If you’ve missed any of the episodes, catch up on miniVHANpodcast.com.

Medication adherence is a key driver of patient outcomes. Any medication therapy is ineffective if the patient cannot access or take it consistently. In addition, adherence is a triple-weighted quality measure on Medicare Advantage (MA) contracts. To help VHAN practices improve medication adherence this year and place a greater year-round focus on this crucial quality measure, the VHAN Pharmacy Team recommends three strategies.

In October 2022 the FDA announced a potential shortage of ADHD medications in the United States. The impact continues to be felt a year later, with many alternative stimulants also experiencing intermittent shortages or limited availability. The VHAN Pharmacy Team put together helpful strategies you can incorporate to navigate the stimulant shortage successfully.