Identify opportunities that drive risk adjustment impact.
If you’re looking for ways to expand your CDI department into outpatient settings and services—all of which can impact risk scores—you’ll find it in the Risk Adjustment Documentation and Coding Boot Camp.
This course reviews various risk adjustment methodologies with a deep focus upon CMS Hierarchical Condition Categories. A review of risk score calculation and those diagnoses/conditions that offer impact will assist your efforts and success is risk adjustment reporting.
This course benefits professional coders, CDI specialists, directors and managers of HIM and CDI, providers, physician practice managers, revenue cycle staff, and professionals in the payer setting who administer risk-adjusted plans.
You'll leave this boot camp with an understanding of:
- Risk adjustment’s role in reimbursement and CMS’s quality measures
- CMS HCC and risk adjustment scoring
- The CAP- Official Guidelines for Coding and Reporting, as well as what the correct codes are for common diagnoses that affect your risk score
- Strong documentation in support of RADV audits
- Documentation requirements to support accurate risk score capture
- The 2021 Coding Guidelines and new HCC mappings
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