5. Medicare Risk Adjustment/HCC Coding
| Module 1 | Introduction and Objectives | |
|---|---|---|
| Lesson 1 | Intro and Objectives | |
| Lesson 2 | Poll/Survey | |
| Module 2 | Definitions and History of HCC Coding | |
| Lesson 1 | Definitions | |
| Lesson 2 | History of MRA and HCC | |
| Module 3 | Specific HCC Codes and Factors | |
| Lesson 1 | List of HCC Codes | |
| Lesson 2 | HCC Codes and Their Factors | |
| Module 4 | Medicare Advantage Funding from CMS | |
| Lesson 1 | Funding Principles | |
| Lesson 2 | Sample Medicare Advantage Companies | |
| Module 5 | Case Scenario | |
| Lesson 1 | Limited Documentation | |
| Lesson 2 | Complete Documentation | |
| Lesson 3 | Potential Revenue Loss | |
| Module 6 | Sample Reports | |
| Lesson 1 | MRA Reporting by Plan | |
| Lesson 2 | High Cost Patient with LOW MRA | |
| Lesson 3 | Help From the Health Plans | |
| Module 7 | HCC Coding Tools and Resources | |
| Lesson 1 | HCC Coding Tools | |
| Module 8 | Summary | |
| Lesson 1 | Summary |