Live Virtual Risk Adjustment Documentation and Coding Boot Camp

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Live Virtual Risk Adjustment Documentation and Coding Boot Camp

Product Code: OCBV

1st Attendee $1,199.00*
Additional Attendee(s)
Save $0.00$1,199.00 each

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* Next registration cut-off date: 7/15/2024

Highly Recommended Material:
ICD-10-CM Expert for Hospitals/Payers
is HIGHLY recommended material for this boot camp.

To register multiple attendees, please call our sales team at 800-650-6787.

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:

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 July 22 – July 25 . Registration cut-off date: 7/15/2024

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

For more information about our Boot Camps, contact us at 800-650-6787 or email

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


July — Class Schedule (Eastern time)

July 22 11:30 a.m. – 5:30 p.m.
July 23 11:30 a.m. – 5:30 p.m.
July 24 11:30 a.m. – 5:30 p.m.
July 25 11:30 a.m. – 5:30 p.m.

Live Virtual Risk Adjustment Documentation and Coding Boot Camp


What is the focus of the Live Virtual Risk Adjustment Documentation and Coding Boot Camp? 
This course delves into the goals and intent of various risk adjustment methodologies. It will offer an in-depth review of the CMS Hierarchical Condition Categories (HCC), including how risk adjustment scores are assigned and the process of Risk Adjustment Data Validation (RADV) audits. The Boot Camp will discuss how coding and clinical documentation integrity (CDI) professionals can affect these processes.

The Official Guidelines for Coding & Reporting will be reviewed as it relates to risk adjustment diagnosis coding. This course will review compliant coding for common diagnoses that can impact your risk scores. It will identify opportunities for query and further clarification and offer tips for provider education.

What computer set-up do I need to attend this class?
This will be hosted on the GoToMeeting platform. Attendees should have access to a computer that has a microphone and speakers to participate, there is also an option to dial-in over a phone line if you need to connect on your phone. You can read the full system requirements for GoToMeeting by visiting You can also test your system by visiting

Does HCPro offer this Boot Camp as an on-site? 
In addition to our open registration courses, we also offer the Boot Camp as an on-site program (with a substantial discount) for organizations that have a number of employees who need training. For more information on hosting an on-site, call 800-780-0584 or click on "Train Groups On-Site." 

What if I need to cancel or transfer my registration? 
To view our cancellation policy, click here

Who typically attends this Boot Camp? 

  • CDI specialists
  • CDI managers and directors
  • HIM managers and professionals
  • Inpatient and outpatient coding managers and professionals
  • Medicare Advantage payers
  • Quality professionals
  • Physicians and nonphysician healthcare professionals
  • Physician practice managers

What material does the course cover? 
To view the course outline, click on "Course Outline" above.

Does the course require any previous experience or training? 
The course is intended as an introduction to risk adjustment methodologies and the application of coding and CDI practices to capture accurate risk adjustment. It is highly recommended that attendees have existing knowledge of basic diagnosis code assignment as well as basic principles of CDI.

This course is NOT intended to teach coding or basic CDI principles.

Does completion of the course lead to any formal certification? 
The AAPC offers the Certified Risk Adjustment Coder (CRC) examination. For more information, see

How is the course taught? 
The course is taught using a combination of lecture, class discussion, and hands-on exercise/case studies.

Does HCPro ever share contact information (e.g., name, address, phone number, email address, etc.) with other companies? 
Historically, we have not shared contact information with anyone outside of our company. However, it is possible that at some point we might share contact information with other companies that offer products and services that we think would be of interest to our customers. If you would like us to keep your contact information confidential, please let us know so that we can flag your information in our customer database as "Do Not Share."

Does completion of this course assist with preparation towards formal certification?
ACDIS CCDS-O offers a CDI certification related to the outpatient setting. This course will assist in preparation related to exam objectives that focus on risk adjustment.

How do I get more information?
Contact our sales team at 800-650-6787 or email

Live Virtual Risk Adjustment Documentation and Coding Boot Camp

Things to Know Before Attending Class

What is Included with Your Purchase

When you purchase a seat for our live virtual boot camps you get online access for one participant to the live sessions, a hard copy of our printed workbook materials, and access to the recordings of the sessions. HCPro reserves the right to revoke your access if we find that you are sharing your login or any of the class information.

Course Materials

You will receive a hard copy of the class materials. These will be shipped to you via UPS. If ordering on our website, please be sure to enter the physical address of where these materials should be shipped to. If you order over the phone or if you are unsure of what address we have on file, please ask the person you are speaking with to verify your address information and update accordingly or call our customer service department. Materials should arrive approximately two business days prior to the start of class.

Manuals Needed For Class

As a part of this class, you will be working in-class exercises requiring code assignment. It is highly suggested that you have an ICD-10-CM manual to participate in this course.

2024 ICD-10-CM for Hospitals

OR if you are a professional services coder, you may prefer

2024 ICD-10-CM for Physicians 

Virtual Boot Camp Platform

We use GoToMeeting to present our virtual boot camps. To ensure your system supports GoToMeeting, use this link We will send out access information for the class 4 business days prior to the class start and again 1 business day prior.

Session Recordings

You will have access to the recordings of each class session via a password protected page on our website. You will be given the page location two business days following the first session. Recordings will be added to the page within one business day following the live session. You will have access to this page for 60 days after the final live session. 

Continuing Education Credits

To receive continuing education credits, you will be required to successfully complete a 40-question quiz that is based off of the content covered throughout the course. Successful completion is achieved by getting at least 80% of the multiple-choice questions correct.

Copyright Protection of Course Materials

The materials used in connection with this course were custom designed by our company specifically for use in connection with this course. We have invested a tremendous amount of time, money and effort in developing, refining and maintaining these materials and they are protected by copyright laws. Course materials may not be duplicated.

You may use the materials (i) in direct connection with the course or (ii) as a personal reference in your day-to-day work. No claim is asserted to any U.S. Government, American Medical Association or American Hospital Association works included in the course materials workbook.

What to Bring to Class

We suggest that you have the following available during the class:

  • Highlighter
  • Notepaper
  • Sticky Notes/flags
  • Pen/Pencil
  • Your current ICD-10-CM manual is highly suggested
  • Hardcopy of class materials

Contact Information

For more information about our Boot Camps, contact us at 800-650-6787 or email

We Look Forward to Having You In Class!

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

Continuing Education

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.

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.

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).

This program has been approved for 22.5 continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider.

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.

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.