Billing & Reimbursement: HCC Coding - Introduction

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About this course

This course provides an in-depth look at Hierarchical Condition Category (HCC) coding for billing and reimbursement. Areas reviewed include risk adjustment factor (RAF), HCC coding guidelines, and the national impact of HCC coding.


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  • Review the history of risk adjustment (RA) and discuss risk adjustment models
  • Explain the risk adjustment factor (RAF) and explore how it is determined
  • Learn about the national impact involved with Hierarchical Condition Category (HCC) coding and provide an overview of the guidelines
  • Explore HCC coding using the example of chronic kidney disease (CKD) and its impact on the risk adjustment score
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