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Live Virtual Risk Adjustment Documentation and Coding Boot Camp

Product Code: OCBV

Quick Overview

The Live Virtual Risk Adjustment Documentation and Coding Boot Camp goes beyond just knowing how to code for a condition. It explores where to obtain coding information as well as where to look for documentation deficiencies to improve overall risk scores. This course 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.

* Registration cut-off date: 12/6/2021

To register multiple attendees, please call our sales team at 615-724-7200.

1st Attendee $999.00*
Additional Attendee(s)
Save $0.00$999.00 each

Total:
$999.00

Live Virtual Risk Adjustment Documentation and Coding Boot Camp

This live virtual boot camp is perfect for those looking to expand their CDI and Coding knowledge with instructor-led education that can be accessed from the comfort of your own home. Classes are led by our expert instructors, typically take place over the course of a week or two, and allow instructor/student interaction and engagement.

Live Virtual Risk Adjustment Documentation and Coding Boot Camp

Course Overview

Risk score training beneficial for both Coding and CDI professionals

Risk adjustment requires coding and CDI professionals to work together as one team to ensure the capture of the most appropriate risk score for each patient.

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 Live Virtual Risk Adjustment Documentation and Coding Boot Camp.

The Live Virtual Risk Adjustment Documentation and Coding Boot Camp not only addresses compliant coding practices, but also the reporting requirements related to valid risk adjustment scoring.

This course applies the core concepts of Clinical Documentation Integrity related to record review and provider education, allowing both coding professionals and CDI specialists to accurately capture a patient’s complexity and accurate risk scoring.

The process of risk adjustment accounts for known health conditions, allowing for comparison of wellness amongst patients. Most risk adjustment models utilize diagnosis codes to determine potential risks. The variables pulled from documentation can assist in identification of those patients with a higher medical need than others. The process of risk adjustment is used to predict both costs and allow for comparisons related to quality-of-care measures.

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.

Who should take this course?
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.

Risk adjustment concepts from this class can also be applied by professionals who monitor quality measures related to the Hospital Value-Based Purchasing (HVBP) Program and Physician Quality Reporting.

This boot camp will help you to:

  • Have a detailed understanding of risk adjustment and identify diagnoses and conditions that affect risk scores
  • Utilize the official guidelines for Coding and Reporting to assign codes
  • Recognize a reportable diagnosis and identify elements to support code assignment
  • Assist providers in strong documentation in support of successful audit results


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


See the HCPro difference for yourself!

Expertly designed course materials: Materials are developed by our instructors specifically for this intensive learning format.

Hands-on learning: Attendees complete a set of exercises/case studies after appropriate modules to ensure that they understand the concepts and know how to apply them to real-world situations.

Small class size: Class size is limited to ensure individual attention.

Nationally recognized educators: HCPro is the nation's premier organization offering boot camp training courses to healthcare coding professionals.


Our boot camps are a comprehensive and effective way to strengthen your understanding of CDI. “Our goal as instructors is to offer detailed, thorough, and timely education that can be simply broken down and easily understood and applied in daily practice,” says CDI education director at HCPro, Laurie Prescott.

Need Coding education?

For best-in-class Coding education, find out more about our boot camps: https://hcmarketplace.com/product-type/boot-camps/coding


How does the Live Virtual Risk Adjustment Documentation and Coding Boot Camp work?

Class is held Monday – Thursday from 11:30 a.m. – 5:30 p.m. Eastern Time for one week.

Please Note: Four days before class starts, you will receive a welcome email that includes the dial-in information for the class.

Class is held Monday – Thursday from December 13 – December 16. Registration cut-off date: 12/6/2021

Class is held Monday – Thursday from February 28 – March 3. Registration cut-off date: 2/21/2022


Looking to train your whole team? We can bring our expert instructors to you! Learn more here!

Live Virtual Risk Adjustment Documentation and Coding Boot Camp

Course Outline/Agenda

  • Module 1: CMS Reimbursement: IPPS, OPPS, and Medicare Advantage Quality Incentives
    • Summary of Medicare Parts A–D 
    • Inpatient Prospective Payment System (IPPS) 
    • Outpatient Prospective Payment System (OPPS) 
    • Medicare Advantage Plans 
    • Prescription Drug Coverage 
  • Module 2: ICD-10-CM Diagnosis Coding: Documentation Sources, Diagnosis Selection, and Official Guidelines
    • Sources of Authority for ICD-10-CM Coding 
    • Documentation Sources 
    • Diagnosis Coding—Inpatient Services 
    • Diagnosis Coding—Outpatient/Professional Services 
    • Uncertain Diagnoses 
    • Signs/Symptoms 
    • Comparative/Contrasting Diagnoses 
    • Acute and Chronic Conditions 
    • Combination Codes 
    • ICD-10-CM Conventions 
      • Excludes notes 
      • Laterality 
  • Module 3: Introduction to Risk Adjustment: Review of Risk Adjustment Methodologies
    • Risk Adjustment Models 
      • HHS-HCCs 
      • Adjusted Clinical Groups 
      • CDPS 
      • DRGs 
      • CMS-HCCs 
    • Demographic Variables 
    • Hierarchical Condition Categories 
      • Applicable settings 
      • Approved providers 
    • Medicare Advantage Plans 
    • Prescription Drug Coverage 
  • Module 4: Hierarchical Condition Categories and the Hierarchies
    • Review of Key Diagnoses From Each HCC 
  • Module 5: Disease Interactions and Disabled Disease Interactions
    • Roles of Disease Interactions in Risk Adjustment 
  • Module 6: Risk Adjustment Validation: RADV Audits


Course outline/agenda subject to change. 

Live Virtual Risk Adjustment Documentation and Coding Boot Camp

Schedule

December — Class Schedule (Eastern time)

December 13 11:30 p.m. – 5:30 p.m.
December 14 11:30 p.m. – 5:30 p.m.
December 15 11:30 p.m. – 5:30 p.m.
December 16 11:30 p.m. – 5:30 p.m.

February / March — Class Schedule (Eastern time)

February 28 11:30 p.m. – 5:30 p.m.
March 1 11:30 p.m. – 5:30 p.m.
March 2 11:30 p.m. – 5:30 p.m.
March 3 11:30 p.m. – 5:30 p.m.

Live Virtual Risk Adjustment Documentation and Coding Boot Camp

Learning Objectives

At the conclusion of this educational activity, participants will be able to:

  • Discuss predictive modeling and the concept of risk adjustment
  • Explain how risk adjustment is applied to healthcare reimbursement
  • 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 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

Live Virtual Risk Adjustment Documentation and Coding Boot Camp

Continuing Education

ACDIS
This program has been approved for 22.5 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification and CCDS-O (outpatient) certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS).

AAPC
This program has the prior approval of AAPC for 22.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

AHIMA
This program has been approved for 22 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

ACCME
HCPro is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

HCPro designates this educational activity for a maximum of 22.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity

ANCC
HCPro is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This educational activity for 22.5 nursing contact hours is provided by HCPro.

California Board of Registered Nursing 
HCPro is approved by the California Board of Registered Nursing to provide 27 nursing contact hours. California BRN Provider #CEP 14494. 

Disclosure Statement: 
HCPro has confirmed that none of the faculty/presenters, planners, or contributors have any relevant financial relationships to disclose related to the content of this educational activity.