Free CRC Exam Prep

Applying Coding Clinic guidance, ICD-10-CM diagnosis coding for commonly risk-adjusted chronic conditions, and recognition of common coding errors

Prospective audits, RADV audits, retrospective audits, and common coding errors identified in RADV audits

Applying the ACA, CDPS, HCC, and private payer risk adjustment models and the elements needed to determine a risk adjustment score

Identifying documentation discrepancies and communicating them to providers

Data mining and predictive modeling from captured data, and how risk adjustment is used across payer programs

Coding diagnoses from medical record documentation and reporting the diagnoses that risk-adjust

Industry and medical acronyms, common medical terms, and disease processes and interactions for common chronic conditions

Purpose of HEDIS and STAR ratings and how they relate to risk adjustment