Risk Adjustment Documentation and Coding Boot Camp

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.

The Risk Adjustment Documentation and Coding Boot Camp will take you all the way from tackling the concept of risk adjustment and how it is calculated, to focusing on specific diagnoses and conditions that may affect overall risk scores. It will ensure you understand all facets of risk adjustment and help you position your organization to make the best decisions. It will also offer strategies to reduce your facility’s vulnerability to Risk Adjustment Data Validation audits (RADV).
 

• Module 1: CMS Reimbursement: IPPS, OPPS, and Medicare Advantage Quality Incentives
• Module 2: ICD-10-CM Diagnosis Coding: Documentation Sources, Diagnosis Selection, and Official Guidelines
• Module 3: Introduction to Risk Adjustment: Review of Risk Adjustment Methodologies
• Module 4: Hierarchical Condition Categories and the Hierarchies
• Module 5: Disease Interactions and Disabled Disease Interactions
• Module 6: Risk Adjustment Validation: RADV Audits