MARSI Training

Advanced

The course does not simply present HCC coding rules but goes much further.
Coding

Accurate coding of thorough documentation is essential to help ensure appropriate reimbursement for delivered services. Risk Adjustment and Hierarchical Condition Category (HCC) coding, a payment model mandated by the Centers for Medicare and Medicaid Services (CMS) in 1997 is no exception. HCCs are used pervasively in value based reimbursement including risk adjusted methodologies such as Medicare Advantage, ACOs and the Affordable Care Act.
Documentation

Since the majority of HCCs are assigned by physicians or their office staff who frequently have less formal training, supporting documentation and coding compliance must be audited. Similar to inpatient DRGs, HCC specialists must be able to read an entire chart and be able to develop unique queries to physicians in reference to their documentation. This course provides the unique training necessary to be successful in this role.
Success

The five section course is broken into modules, which create natural places within the course to pause and return later. The learner must score at least 80% on each sectioned quiz and test before moving forward to the next section. Upon successful completion of the course, you will obtain a certificate of completion awarded by MARSI and AHIMA. CEU’s are awarded if you are a member of AHIMA: 40 CEU’s for AHIMA.

1

Develop a thorough understanding of the ICD‐10‐CM guidelines including Coding Clinic and the CMS Participant Guide

Understand how to apply guidelines to medical chart documentation.

Develop familiarity with diseases by ICD‐10–CM Section and by HCC, and be able to identify which diseases risk adjust.

Understand how CMS hierarchy applies to payment.

Learn to identify insufficient or incomplete documentation and the impact on HCCs.

Be able to explain the best practice use of queries and how to formulate those queries.