Risk Adjustment Documentation & Coding Certification

 

Online and Self-Guided Learning Style

This self-paced Risk Adjustment Documentation & Coding course is ideal for those who work best at their own pace. Though the modules are self-guided, there are instructors standing by to answers questions via phone or email in case you need help or clarification.

Included in the course, is the Registered Risk Adjustment Coder (RRC) Exam and RRC Credential. When it comes to Risk Adjustment Coding courses, the nationally-recognized Registered Risk Adjustment Coder (RRC) credential is the certification that employers hold to a higher standard. The RRC certification is authorized through the State of GA Nonpublic Postsecondary Education Commission (GNPEC), which requires an annual update exam on the current year’s coding changes (also administered online and included in the annual renewal fee)

Who is this Risk Adjustment Documentation and Coding Certification for?

The RRC is specifically geared toward people who are currently in the medical coding field and want to advance their career. Many coders are new to HCC and Risk Adjustment Coding and this course is the best way to fully understand the concepts as well as bring you to an advanced understanding and knowledge in order to be successful in your career. This course includes the RRC Credential which will prove to yourself and employer that you have an advanced understanding of HCC and Risk Adjustment Documentation and Coding.

Learning Objectives:

The nationally-recognized RRC Risk Adjustment Documentation and Coding certification training program is designed to prepare students to test for the Registered Risk Coder (RRC) certification exam through ARHCP. This training specifically covers:

  • Comprehend Medicare Parts and how risk adjustment applies to each section.

  • Distinguish how coding impacts the larger health plan organization from a financial context

  • Understand the hierarchy categories and the mechanics of applying those hierarchy guidelines

  • Uncover health care program types that use Risk Adjustment for payments

  • Decode data collection procedures and enrollee characteristics

  • Review community and disease factors and adjustments that affect risk adjustment payments

  • Understand predictive modeling

  • Learn documentation and coding guidelines for HCC code review

  • Recognize the differences between inpatient and outpatient documentation and diagnostic data

  • Identify acceptable provider types medical record requirements, medical record deficiencies

  • Understand the use of the MEAT acronym for diagnosis capture

  • Understand how to navigate RADV audit results to reduce future risks

  • Navigate hierarchy of documentation of diseases and guideline review

  • Understand HCC categories and how to calculate your RAF score

  • Practice HCC coding with mock medical record examples

Learning Objectives
The nationally-recognized RRC Risk Adjustment Documentation and Coding certification training program is designed to prepare students to test for the Registered Risk Coder (RRC) certification exam through ARHCP. This training specifically covers:

  • Comprehend Medicare Parts and how risk adjustment applies to each section.

  • Distinguish how coding impacts the larger health plan organization from a financial context

  • Understand the hierarchy categories and the mechanics of applying those hierarchy guidelines

  • Uncover health care program types that use Risk Adjustment for payments

  • Decode data collection procedures and enrollee characteristics

  • Review community and disease factors and adjustments that affect risk adjustment payments

  • Understand predictive modeling

  • Learn documentation and coding guidelines for HCC code review

  • Recognize the differences between inpatient and outpatient documentation and diagnostic data

  • Identify acceptable provider types medical record requirements, medical record deficiencies

  • Understand the use of the MEAT acronym for diagnosis capture

  • Understand how to navigate RADV audit results to reduce future risks

  • Navigate hierarchy of documentation of diseases and guideline review

  • Understand HCC categories and how to calculate your RAF score

  • Practice HCC coding with mock medical record examples

Course Outline
This course is broken down into the following sections:

  • Introduction to Risk Adjustment Coding
  • Module 1: Biomedical
  • Module 2: Risk Adjustment Models/Payment Methodology
  • Module 3: Diagnostic Coding
  • Module 4: Clinical Documentation Improvement
  • Module 5: Medical Record Deficiencies
  • Module 6: Quality of Care (HEDIS, STAR Rating)
  • Module 7: Compliance & Regulatory
  • Module 8: Production & Quality Management
  • Case Studies: Test your knowledge with 20 real world case studies
  • RRC Final Exam (2 attempts) – Conducted Online
About the Instructor
The RRC Training was developed by Ann Barnaby, RMC, CPC, CRC and Angela Carmichael, MBA, RHIA, CDIP, CCS-P, CRC

The RRC Exam was developed by Ann Barnaby, RMC, CPC, CRC and reviewed by Angela Carmichael, MBA, RHIA, CDIP, CCS-P, CRC and Bailey Sisk, BSN, RN

Required Textbooks

Book Requirements

  1. ICD-10-CM Expert for Physicians (current year)

These textbooks are not included but are available to purchase through MMI at a discounted rate when enrolling in the program.

Prerequisites
At MMI, we want to make sure that you have a successful learning experience, which is why in order to sign up for the Risk Adjustment Documentation and Coding (RRC) certification and training, you must have previous experience as a medical coder.
Online Training Format
The Risk Adjustment Documentation and Coding (RRC) training program is administered completely online through MMI’s password-protected, user-friendly learning platform.

The training is available in and online self-paced environment, 

General Online Training Format

Enrolling in the program will create an account that will allow you to begin training online. The platform includes group discussion, engaging reading material, and interactive learning tools consisting of practice exams, quizzes and case studies to test your knowledge and progress throughout. Additionally, this training includes instructor support via email/phone, so you will have access to MMI’s network of certified instruction staff throughout your studies.

Upon completion of the training program, you will be given access to the RRC certification exam, proctored online through MMI’s learning platform. The results will be available immediately upon submitting the exam. Upon successful completion of the exam, you will officially be a Registered Risk Adjustment Coder and member of the Association of Registered Healthcare Professionals (ARHCP). We will mail you the RRC certificate and membership card, and you will receive the benefits of an MMI membership for one year.

Payment Plan & Group Rates
Interest-free payment plan options are available through MMI & PayPal.

Payment Plan through PayPal:

If you would like to set up a payment plan through Paypal, you can do so at the checkout page by following the instructions below:

  1. Select the “Checkout with PayPal” button after placing training in cart
  2. Log in with your PayPal account (or create a new one)
  3. Select the “Apply Now” button at the bottom of the page

Payment Plan through MMI:

Contact an MMI representative to set up an interest-free payment plan through the Medical Management Institute. Typically, a down payment of $350 is required and the remaining balance is paid off over five months.

Group Rates:

Discounted rates are available upon request for groups of three or more. Contact us to get started.