Risk Adjustment Certification
The cms risk adjustment program is prospective in nature.
Risk adjustment certification. Certified risk adjustment coder hcc course a complete no fluff course that will teach you the core essentials of risk adjustment and prepare you for the crc exam. Ra program without certification exam fee 75000 register. Risk adjusment models and parameters for medicare advantange rates and prescription drug rates. Donna manager of risk adjustment coding medicare advantage plan ra program with certification exam fee just 109900 register.
Our full length 40 hour equivalent risk adjustment course formerly called the hcc course is not a weekly boot camp or webinar event. Our risk adjustment training is used by several medicare advantage plans and vendors to train their staff. Risk adjustment is a method to offset the cost of providing health insurance for individualssuch as those with chronic health conditionswho represent a relatively high risk to insurers. A certified risk adjustment coder crc has proven by rigorous examination and experience that they know how to read a medical chart and assign the correct diagnosis icd 10 cm codes for a wide variety of clinical cases and services for risk adjustment models eg hierarchical condition categories hccs chronic illness disability payment.
1 successful completion of this online course indicates that students are prepared to take the crc exam and begin a career as a certified risk adjustment coder. Under risk adjustment an insurer who enrolls a greater than average number of high risk individuals receives compensation to make up for extra costs associated with those enrollees. 2 self paced course convenient for work schedules. Flexibility to complete coursework at home on your own schedule.
What risk adjustment means and how it works for medicare advantage documentation and coding guidelines that apply to hierarchical condition categories hccs specific coding guidelines applicable to infectious and parasitic diseases neoplasms diseases of the blood and blood forming organs diabetes endocrine. When it comes to risk adjustment coding courses the nationally recognized registered risk adjustment coder rrc credential is the certification that employers hold to a higher standard. 3 expert aapc certified coaches available to answer questions.