HCC Coding: Audit Criteria
About this courseThis course provides an overview of audit criteria for Hierarchical Condition Category (HCC) coding. Areas reviewed include quality, RADV, and Validation and Part C Improper Payment audits, their advantages and disadvantages, and record reviews and submissions.
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- Review the criteria for quality audits and discuss their purpose
- Explain Risk Adjustment Data Validation (RADV) audits and explore their advantages and disadvantages
- Provide an overview of Validation and Part C Improper Payment audits
- Explore options regarding record reviews and submissions
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