Risk Adjustment Documentation and Coding Boot Camp Online

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Risk Adjustment Documentation and Coding Boot Camp Online

Product Code: OCBO


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

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$999.00
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Register up until the day before the class
to attend this course.

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

Don't forget to order the essential CDI resource - The 2021 ACDIS Pocket Guide and FREE access to the all new ACDIS PRO!

This online boot camp is a great choice for those looking for self-paced training. You receive 24/7 access to the course—with the ability to submit questions to our instructors—for 60 days after purchase.

Risk Adjustment Documentation and Coding Boot Camp Online

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 Risk Adjustment Documentation and Coding Boot Camp Online.

The Risk Adjustment Documentation and Coding Boot Camp Online 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

This isn't just any coding course. Check out all the benefits of this HCPro online Boot Camp:

  • 60-day access to video instruction after purchase: View video sessions and complete all assignments, including review of all answer keys.

  • 24-hour access: Video instruction is 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.

Risk Adjustment Documentation and Coding Boot Camp Online

Dates

Below is the current course schedule for upcoming CDI and Quality Care Measures Boot Camp Online classes.

To view our cancellation policy, click here.

 

Course

Class Dates

Registration Deadline

June 2021 - July 2021

6/1/2021 - 7/31/2021 5/31/2021

July 2021 - September 2021

7/6/2021 - 9/4/2021 7/5/2021

August 2021 - October 2021

8/3/2021 - 10/2/2021 8/2/2021

September 2021 - November 2021

9/7/2021 - 11/6/2021 9/6/2021

October 2021 - December 2021

10/5/2021 - 12/4/2021 10/4/2021

November 2021 - January 2022

11/2/2021 - 1/1/2022 11/1/2021

Risk Adjustment Documentation and Coding Boot Camp Online

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. 

Risk Adjustment Documentation and Coding Boot Camp Online

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

Risk Adjustment Documentation and Coding Boot Camp Online

Continuing Education

AAPC
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.

ACDIS
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).

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 7.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AHIMA
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).

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 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.

Risk Adjustment Documentation and Coding Boot Camp Online

Questions/Answers

Risk Adjustment Documentation and Coding Boot Camp Online—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 is the focus of the Risk Adjustment Documentation and Coding Boot Camp Online?
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 https://www.aapc.com/certification/crc/.

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 customer@simplifycompliance.com.

Risk Adjustment Documentation and Coding Boot Camp Online

Online Boot Camp Staff

Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, is the director of HIM and coding for HCPro. She oversees all of the Certified Coder Boot Camp programs. McCall developed the Certified Coder Boot Camp®—Inpatient Version and the Evaluation and Management Boot Camp™; most recently, she collaborated with the CDI team to develop the Risk Adjustment Documentation and Coding Boot Camp. McCall works with hospitals, medical practices, and other healthcare providers on a wide range of coding-related custom education sessions. She was also one of the first Association of Clinical Documentation Integrity Specialists (ACDIS) Advisory Board members.

Laurie L. Prescott, MSN, RN, CCDS, CDIP, CRC, is the CDI education director for HCPro. Prescott serves as a full-time instructor for the CDI Boot Camp as well as a subject matter expert for ACDIS.

Prescott is a frequent speaker on HCPro/ACDIS webinars and author of The Clinical Documentation Integrity Specialist’s Complete Training Guide. She started her nursing career in 1985 as a graduate of the University of Vermont School of Nursing. Since that time, she has worked at a variety of organizations, including academic, large, and small community hospitals. She has worked in a number of nursing roles, including as manager in the areas of medical/surgical, ICU, PACU, and endoscopy. Her experience also includes specialization as a compliance officer.

Risk Adjustment Documentation and Coding Boot Camp Online

2021 ACDIS Pocket Guide: The essential CDI resource

The 2021 ACDIS Pocket Guide is your essential CDI resource. It includes updates to clinical diagnostic standards, the Official Coding Guidelines, ICD-10-CM codes, CMS-HCCs and CDI critical thinking tips! The 2021 ACDIS Pocket Guide is co-written by ACDIS’ CDI Education Director Laurie Prescott, RN, MSN, CCDS, CDIP, CRC, CCDS-O, and a practicing physician steeped in the latest physician documentation terminology, James Manz, MD, CCDS-O.

Be sure to include the #1 CDI resource in your library today!

Bonus: With every purchase of the 2021 ACDIS Pocket Guide, you’ll also have access to the content in ACDIS PRO, our interactive, customizable online tool, which will allow you to easily access your favorite CDI information anywhere, any time!

Want to know more? View a brief 4 minute demo now!