Risk Adjustment / HCC Resource Guide
INSTANT DOWNLOAD: PDF
Current Version v2025
Hierarchical
Condition Categories (HCC) or Risk-Adjustment Resource Guide
Hierarchical
Condition Categories (HCC) is a long-standing risk adjustment model that has
gained increased visibility since Medicare Advantage Plans began requiring RAF
scores for reimbursement. Today, HCC is on the radar of every coding leader and
commercial payer.
Auditors play a
crucial role as gatekeepers of compliance, ensuring that proper understanding
and proficiency are maintained in risk adjustment auditing. While our bootcamp
and certification programs utilize this manual for training and exam
preparation, this shopping cart item is for purchasing the NAMAS Curriculum
Manual as a stand-alone resource guide.
Key Features of
the Manual as a Resource Guide:
Comprehensive
Reference:
Provides
charts, guides, samples, and detailed instructions to help you navigate the
complexities of risk adjustment auditing in your day-to-day work.
Versatile
Usage:
Ideal for
addressing risk adjustment–related issues and concerns. Use it as a reference
guide whether you're preparing for audits, tackling real-world challenges, or
studying for certification exams.
Additional
Benefits:
NAMAS
Curriculum Manual is available exclusively as an electronic PDF download.
Includes a
workbook integration to enhance your learning with practice questions and
sample scenarios.
Note: While the
manual is also used in our 8-hour Risk-Adjustment Auditing Bootcamp—which is
divided over two days in live, interactive sessions—the focus of this purchase
is on acquiring a robust resource guide for risk adjustment auditing.
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