Certified Risk Adjustment Coding (CRC)
Learn from certified and experienced risk adjustment coding professionals.
About the course
“Welcome to our comprehensive Certified Risk Adjustment Coding (CRC) preparation course, designed to equip you with the specialized skills needed to excel in risk adjustment coding. This program focuses on the intricacies of coding for risk adjustment models, including HCC (Hierarchical Condition Category) coding, and ensures you understand the importance of accurate documentation for optimal reimbursement.
Course content
- Overview of Risk Adjustment Models:
- Understanding the purpose of risk adjustment in healthcare.
- Introduction to HCC coding and other risk adjustment methodologies.
- The Role of the CRC Coder:
- Importance of accurate coding and documentation in risk adjustment.
- Understanding the impact of coding on patient risk scores.
- AAPC and CRC Certification:
- Introduction to AAPC and the CRC certification.
- Understanding the CRC exam requirements and format.
- ICD-10-CM Guidelines for Risk Adjustment:
- Applying ICD-10-CM guidelines in the context of risk adjustment.
- Identifying and coding chronic conditions and comorbidities.
- HCC Coding:
- Understanding HCC categories and their associated diagnoses.
- Coding specific conditions that impact risk scores.
- Documentation Requirements:
- Ensuring documentation supports coded diagnoses.
- Understanding the importance of provider documentation.
- Medical Record Analysis:
- Reviewing medical records for accurate diagnosis coding.
- Identifying documentation gaps and inconsistencies.
- Documentation Improvement Strategies:
- Understanding the role of provider education.
- Implementing documentation improvement initiatives.
- Auditing and Compliance:
- Conducting internal audits to ensure coding accuracy.
- Understanding compliance requirements for risk adjustment coding.
- HIPAA and Compliance:
- Understanding HIPAA regulations and patient privacy in risk adjustment coding.
- Compliance requirements for data security and integrity.
- Fraud and Abuse:
- Recognizing and preventing fraud and abuse in risk adjustment coding.
- Understanding the legal implications of coding errors.
- OIG Guidelines.
- Understanding Risk Scores:
- Calculating and interpreting patient risk scores.
- Understanding the impact of coding on risk scores.
- Risk Adjustment Methodologies:
- Overview of various risk adjustment models used in healthcare.
- Understanding the differences between models.
- Exam Strategies:
- Test-taking strategies for the CRC exam.
- Time management and stress reduction techniques.
- Practice Exams and Coding Scenarios:
- Completing practice exams and coding scenarios.
- Reviewing and analyzing coding errors.
- Mock Exams.
