This workshop addresses principles of risk adjustment and accurate diagnosis coding. In addition, predictive modeling, financial impact of risk adjustment coding, documentation challenges, official diagnosis coding guidelines, and diagnosis coding in ICD-10-CM.
This course is recommended for anyone who is currently working in risk adjustment or wants to learn risk adjustment coding.
Course Objectives: Define different models of risk adjustment (HCC, CDPS, HHS-ACA, Hybrid); Understand predictive modeling and its impact on risk adjustment; Explain risk adjustment impact on financial matters; Apply official coding guidelines; Identify elements of the medical record ; Identify documentation deficiencies for diagnosis coding; Understand the most common conditions in risk adjustment and how to properly code in ICD-10-CM. This program has been approved by AAPC for 20 CEU's
Prerequisites: Solid knowledge of medical terminology, anatomy and pathophysiology (or AAPC courses). Must possess a coding or health information credential; CPC, CPMA, COC, CCS-P, RHIT etc.