Risk Adjustment Documentation & Coding Certification (RRC)

Course Details

Introduction to Risk Adjustment Coding
Introduction to Risk Adjustment Coding
Module 1: Biomedical
Key Risk Adjustment Acronyms
Musculoskeletal System
Endocrine System
Nervous System
Cardiovascular System
Respiratory System
Digestive System
Male Genital
Immune System
Module 2: Risk Adjustment Models/Payment Methodology
Section One: History of Risk Adjustment Payment Models
Section Two: What is Risk Adjustment
Section Three: Risk Adjustment Data Collection Process Overview
Section Four: Calculating Risk Adjustment Payments
Section Five: How Risk Adjustment Relates to Medical Financial Matters
Section Six: The use of HCCs Beyond Medicare Advantage; Accountable Care Organizations (ACOs), and Value-Based Purchasing (VBP)
Section Seven: Predictive Modeling & the Isolation of Quality of Care
Section Eight: Updating Diagnosis Codes in the Parts C and D Risk Adjustment Models
Module 3: Diagnostic Coding
Coding Guidelines
Module 4: Clinical Documentation Improvement
Medical Record Requirements
Module 5: Medical Record Deficiencies
Medical Records Deficiencies
Module 6: Quality of Care (HEDIS, STAR Rating)
HEDIS Measures and Star Rating
Module 7: Compliance & Regulatory
Compliance and Regulatory: Risk Adjustment Payments and the need for Validation
Module 8: Production & Quality Management
Production and Quality Management
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COMPLIMENT/COMPLAINT PROCEDURE

All of our customers and students are very important to us. So that we can resolve any problems that arise in a rapid and effective manner, the following grievance procedure has been put in place

  1. If you have a concern, you may speak with any of our phone representatives at 866-892-2765.
  2. If your issue cannot be resolved through these means, you may file a written complaint within 30 days of finishing your course to Jason Childress via email at [email protected]. Please allow 48 hours to respond to your complaint
  3. Should the problem still persist, you may contact the Better Business Bureau servicing Georgia (where the Institute resides): 503 Oak Place, Suite 590 Atlanta, GA 30349 www.bbb.org e-mail: [email protected] Phone: (404) 766-0875 Fax: (404) 768-1085
  4. In the event you are not fully satisfied with the decision of the institution, you may contact the Non-Public Postsecondary Education Commission within 30 days of your initial complaint with MMI:2082 East Exchange Place Suite 220 Tucker, GA 30084 (770)414-3300 https://gnpec.georgia.gov/studentresources/complaints-against-institution