Review HCC Value Based Risk Adjustment model(s) and why it is important Stronger understanding of the medical coding guidelines and regulations, including compliance and the impact of diagnosis coding Mindfulness to the auditing process for CMS- HCC risk adjustment models Awareness of “other” HCC Risk Models (Commercial, Medicaid) Athena ICD-10-CM Order Sets and their value

Review CMS-HCC risk adjustment model and why it is important Review specific official ICD-10-CM coding guidelines and how they are applied for HCC diagnosis coding Identify elements of the medical record that help support the validation of an HCC diagnosis condition Identify documentation deficiencies for specific conditions

Review CMS-HCC risk adjustment model and why it is important Review specific official ICD-10-CM coding guidelines and how they are applied for HCC diagnosis coding Identify elements of the medical record that help support the validation of an HCC diagnosis condition Identify documentation deficiencies for specific conditions