Course description
This course offers comprehensive instruction in Hierarchical Condition Category (HCC) coding, an indispensable element of risk adjustment within the healthcare sector. Participants will acquire proficiency in meticulously reviewing medical records and accurately assigning ICD-10-CM codes to fully represent a patient's health status. The curriculum encompasses risk adjustment methodologies, Centers for Medicare & Medicaid Services (CMS) guidelines, requisite documentation, and the financial implications of HCCs on provider reimbursement. This specialized education is crucial for medical coders seeking to advance their expertise and establish a career in the expanding domain of value-based care.
What will i learn?
Requirements
Frequently asked question
HCC (Hierarchical Condition Category) coding constitutes a risk-adjustment methodology employed to forecast a patient's prospective healthcare expenditures based on their clinical diagnoses. It serves as a pivotal component within value-based care frameworks.
This course is optimally designed for medical coders, billers, auditors, and healthcare professionals actively involved with Medicare Advantage or other risk-adjusted payment models.
Prospective participants should possess a robust comprehension of medical terminology and anatomy, alongside proficiency in ICD-10-CM coding.
The curriculum encompasses risk adjustment models, CMS guidelines, strategies for documentation improvement, and best practices pertinent to HCC chart reviews.
General coding primarily focuses on the accurate billing for rendered services, whereas HCC coding prioritizes the comprehensive capture of a patient's health status to predict their healthcare costs and associated risk.
Yes, our curriculum is meticulously structured to prepare individuals for industry-recognized certifications, such as the Certified Risk Adjustment Coder (CRC) examination.
Indeed, the course integrates practical exercises and case studies utilizing authentic clinical documentation to furnish participants with hands-on experience.
Graduates are well-positioned to pursue roles such as HCC Coder, Risk Adjustment Coder, Coding Auditor, or Documentation Improvement Specialist.
Aushi Rai
₹0
Lectures
5
Skill level
Beginner
