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2025 Certified Risk Adjustment Coder Course
Introduction
Welcome and Course Overview
Chapter 1: Business & Medicine
Fundamentals of Risk Adjustment (HCC) Coding (111:05)
Medical Terminology and Anatomy/Physiology
Basics of Medical Terminology and Anatomy (48:09)
ICD-10-CM Guidelines
How to Add Tabs to your Book
Introduction to ICD-10-CM Coding Systems
ICD-10-CM Coding Guidelines
Risk Adjustment Models
Risk Adjustment Models (152:47)
Commercial Insurance/ Health & Human Services (HHS HCC)
The Foundation of the Risk Adjustment & Medicare Advantage Organizations
V28 HCC List
Predictive Modeling & Quality Care
Predictive Modeling (27:00)
Importance of Quality Care in Risk Adjustment
CMS STARS Ratings Program
HEDIS Measures/ National Quality Forum (NQF)
The Quality Payment Program/ Merit-Based Incentive Payment Systems (MIPS)
Advanced Alternative Payment Model (APM)
MID-TERM EXAM
Chapter 1: Business & Medicine
Chapter 2: Medical Terminology
Chapter 3: Introduction to ICD10CM
HEDIS Measures/ National Quality Forum (NQF)
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