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

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* Registration cut-off date: 4/5/2021

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

Live Virtual Risk Adjustment Documentation and Coding Boot Camp

Course Overview

Coding for risk adjustment can feel like searching for a needle in a haystack. Only 13% of diagnosis codes (~8,800 out of about 70,000) are classified as a Hierarchical Condition Category (HCC). Finding those hidden gems in the documentation is of vital importance.

The Risk Adjustment Documentation and Coding Boot Camp Online 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. Similar to how implementing a clinical documentation integrity (CDI) department strengthens documentation for DRG assignment, this Boot Camp uses the same principles to improve documentation for risk adjustment.

Risk adjustment uses diagnoses and patient demographics to calculate a payment amount for a beneficiary for a defined period. The methodology focuses on how sick the patient is, rather than how often the patient is seen or evaluated by a provider. Payments are linked directly to the documented conditions in the medical record, not to the number of visits.

The 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.

Who should take this course?

  • 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

Our online CDI Boot Camps can be licensed for use within your organization. These can be deployed on your Learning Management system or HCPro’s. Call 877-233-8734 or email to discuss our new organizational pricing program.

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 April 12 – April 15. Registration cut-off date: 4/5/2021

Class is held Monday – Thursday from December 6 – December 9. Registration cut-off date: 11/29/2021

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


April — Class Schedule (Eastern time)

April 12 11:30 p.m. – 5:30 p.m.
April 13 11:30 p.m. – 5:30 p.m.
April 14 11:30 p.m. – 5:30 p.m.
April 15 11:30 p.m. – 5:30 p.m.

December — Class Schedule (Eastern time)

December 6 11:30 p.m. – 5:30 p.m.
December 7 11:30 p.m. – 5:30 p.m.
December 8 11:30 p.m. – 5:30 p.m.
December 9 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

This program has the prior approval of AAPC for 5.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

This program has been approved for 7.5 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS).

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 7.5 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 5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

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

This educational activity for 7.5 nursing contact hours is provided by HCPro.

CA Board of Nursing
HCPro is approved by the California Board of Registered Nursing to provide 9 nursing contact hours. California BRN Provider #CEP 14494.

Live Virtual Risk Adjustment Documentation and Coding Boot Camp


Risk Adjustment Documentation and Coding Boot Camp—How does it work?
You’ll receive the same content and instruction that you would experience at our classroom-based, nationally recognized Boot Camps. Here’s how it works:

  • 60-day access after purchase date: View sessions and complete all assignments, including review of all answer keys.
  • 24-hour access: Modules are available at any time of day—you choose the time that works for you. You can also email questions to our instructors. We try to answer all questions either via email or phone within two business days.

How long will the online content remain accessible after class ends?
The online portal location for your class sessions and materials will be available for 60 days from your purchase date.

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

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-HCCs, including how risk adjustment scores are assigned and the process of RADV audits. The Boot Camp will discuss how coding and CDI professionals can affect these processes.

The Official Guidelines for Coding and Reporting will be reviewed as they relate to risk adjustment diagnosis coding. This course will review correct 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.

Does HCPro offer this Boot Camp as an on-site course?
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?
Cancellation Policy

Please click here to view our cancellation policy.

Who typically attends this Boot Camp?
This course benefits professional coders, CDI specialists, HIM and CDI directors and managers, providers, physician practice managers, revenue cycle staff, and professionals in the payer setting who administer risk-adjusted plans.

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

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 (CRCÔ) examination. For more information, see

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 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."

How do I get more information?
Contact customer service at 800-650-6787 or email

Live Virtual Risk Adjustment Documentation and Coding Boot Camp

Add Association of Clinical Documentation Integrity Specialists (ACDIS)

$20 discount on your one-year ACDIS Membership will be applied at check out.

ACDIS is a community of CDI professionals who share the latest tips, tools, and strategies to implement successful CDI programs and achieve professional growth.

ACDIS members receive: 

  • Advocacy and leadership from a peer-elected ACDIS Advisory Board, including peer-reviewed Position Papers and White Papers.
  • Weekly tips, news, and strategies in our e-newsletter, CDI Strategies
  • In-depth news and regulatory information, clinically-based articles, case studies on building successful CDI programs, and membership profiles in our bi-monthly electronic journal, the CDI Journal
  • An opportunity to network with peers and colleagues in the ACDIS Forum
  • Access to live and archived quarterly conference calls, hour-long networking discussions and an open Q&A with the ACDIS Advisory Board
  • Helpful tools accessed in our electronic Resource Library, including sample queries, policies, and archived conference presentations
  • Two free job postings a year, discounted additional posts, and the ability to post your resume on our Career Center
  • Opportunities to participate in an Official ACDIS Local Chapter in your area, under the leadership of the Chapter Advisory Board
  • Discounts to the annual ACDIS conference, CCDS certification, and CDI Boot Camps

To explore all that ACDIS has to offer, please
visit the ACDIS Web site.