The HCC and Risk Adjustment Coding Course
For Learners with a foundational understanding of outpatient coding who want to expand their knowledge into Hierarchical Condition Categories and Risk Adjustment.
Course Overview
Risk Adjustment
You’ll learn all about the statistical process that takes into account the underlying health status and health spending enrollees in an insurance plan.
The Business of Medicine
Healthcare is a multifaceted industry which employs all types of professions and is bound by a multitude of statutes and regulations. To help you understand how a coder fits into the healthcare industry, we will discuss coding as a profession and how the coder fits into the physician office as well as differences of services provided by hospitals and those provided by physicians.
Pharmacology
We will discuss pharmacology as it pertains to the medical coder. We will discuss the basic principles of pharmacology, how drugs or named and classified, and routes of administration.
Introduction to ICD-10-CM Coding
Help you learn the basics of ICD-10-CM coding – with a specific focus on how to look up diagnosis codes.
Hierarchical Condition Categories
We’ll review and discuss the sets of medical codes that are linked to specific clinical diagnoses.
Medical Coding Guidelines
You’ll brush up on medical coding guidelines and regulations—specifically compliance, reimbursement, and the impact of diagnosis coding on risk adjustment payment models.
Anatomy -Structure & Function
The anatomy and physiology of major organ systems will be studied in the context of normal and disease states.
Medical Terminology
Designed for students who may benefit from learning medical language and basic structure and function of the human body,