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HCPro
 
                                                    July 29-31, 2019 | Denver, CO
 
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The Risk Adjustment Documentation and Coding Boot Camp reviews both inpatient and outpatient coding guidelines and their application to the CMS-Hierarchical Condition Category (HCC) methodology, and includes detailed instruction on the individual HCCs and identification of opportunities for improved documentation. Clinical scenarios are used to demonstrate concepts and validate learning.


At this three-day course you will learn how to:

  • Discuss predictive modeling and the concept of risk adjustment 
  • Explain how risk adjustment is applied to reimbursement in healthcare 
  • Explain how risk adjustment is applied to CMS quality measures 
  • Identify the different models used in risk adjustment 
  • Discuss the process of computing the Risk Adjustment Factor (RAF) score for individuals 
  • Describe the process of Risk Adjustment Data Validation (RADV) audits 
  • Identify elements within a medical record that can be used to support code assignment 
  • Define what is considered a reportable diagnosis 
  • Identify the most common conditions found within the Hierarchical Condition Categories (HCC) risk adjustment methodology 
  • Apply the Official Guidelines for Coding and Reporting when assigning codes to these common conditions 
  • Identify query opportunities related to documentation deficiencies that would likely impact HCC assignment and RAF score 
  • Apply the process of record review for HCC risk adjustment to clinical examples

Who should attend?
  • CDI specialists 
  • CDI managers and directors 
  • HIM managers and professionals 
  • Inpatient and outpatient coding managers and professionals 
  • Medicare Advantage payers 
  • Quality professionals 
  • Physicians and non-physician healthcare professionals 
  • Physician practice managers


   
REGISTER NOW
 
Short on time and budget? Attend this course online here

Need to train a group?

Bring our industry-leading instructors to your facility! Hosting a Boot Camp is a cost-effective and convenient solution for training your staff on the latest regulations. For more information, call 877-233-8734 or email nasales@hcpro.com.
 
 
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