CRC Exam Review: Fundamentals of Hierarchical Condition Categories



Prepare for AAPC’s Certified Risk Adjustment Coder (CRC) credential with CRC Exam Review: Fundamentals of Hierarchical Condition Categories, by nationally recognized HCC authority Rose T. Dunn, MBA, RHIA, CPA, FACHE. Course includes optional hands-on “Abstract & Code It!” exercises to reinforce learning (requires textbook).

CEUs:  7.5    7.5 AHIMA    7.5 AAPC
Included in eLearning Library. Price per person. Group rates available.

Prepare for AAPC’s Certified Risk Adjustment Coder (CRC) credential with CRC Exam Review: Fundamentals of Hierarchical Condition Categories. This online, self-paced course provides in-depth content specific to the exam’s requirements plus additional instruction essential to the work of the HCC coder. Course includes optional hands-on “Abstract & Code It!” exercises to reinforce learning (requires textbook).

Demonstrate your expertise in HCC coding with the CRC credential.  Providers and Hospitals need individuals with in-depth knowledge and command of the HCC system to ensure coding is accurate, supported by documentation, and that reimbursement is appropriate.

Holders of the CRC credential are required to possess clear understanding of guidelines, regulations, diagnosis coding, and risk adjustment. HCC coding for risk adjustment requires coders to help ensure documentation is complete and sufficient to document thoroughly all diagnoses for chronic diseases in the medical record.  This course provides excellent CRC preparation and more!

  • Go beyond just diagnoses – really understand the methodology behind HCCs
  • Learn how to use problem lists, past medical history, and medication lists to identify all the HCC codes for every encounter
  • Put on your CDI ‘hat’ and work with providers to ensure complete and thorough documentation to support HCC diagnoses
  • Identify HCC-specific coding guidance for the coding professionals on your team
  • Learn how HCC diagnoses impact the calculation of the risk adjustment factor and the resulting reimbursement for your facility
  • Support the efforts of the hospital contracting team to ensure appropriate and fair reimbursement
  • Effectively manage the impact of external auditors

CRC Exam Review: Fundamentals of Hierarchical Condition Categories Course Syllabus

Lesson 1:
History of Risk Adjustment
Why HCCs were implemented
Structure of HCCs
Where do we find HCCs?

Lesson 2:
Common HCC Models
Pharmacy HCCs

Lesson 3:
Foundational Principles of HCCs
Understanding the Diagnosis to CMS-HCC Map
Understanding the CMS-HCC Relative Factors Grid

Lesson 4:
How are HCCs Calculated
CPT® Influence
CMS0HCC Relative Factors

Lesson 5:
Reimbursement Methodology
Applying the Denominator
Calculating the Risk Adjustment Factor
All Condition Count HCC Methodology

Lesson 6:
Understanding the claim data and reimbursement flow
Comprehending the terminology

Lesson 7:
Documentation Requirements
Medical Record Reviewer Guidelines (RADV Checklist)
Physician Documentation (MEAT/TAMPER)
The role of the Clinical Documentation Integrity Specialist
The role of the Clinical Record Analyst

Lessons 8-11:
“Abstract & Code It!” Exercises Drawn From Risk Adjustment Documentation & Coding
Clinical Topics A-C e.g. Amputation, Behavioral Disorders, Complications, and Congestive Heart Failure
Clinical Topics D-M e.g. Dementia, Diabetes and Malnutrition
Clinical Topics N-P e.g. Narcolepsy, Neoplasms, and Pneumonia
Clinical Topics Q-V e.g. Renal Disorders, Septicemia and Sepsis, Stoma Status, and Vascular Disease

Lesson 12:
Initial Validation Audits
Risk Adjustment Validation Audits
Frequency and Sample
Common Findings
Appeal Options

The level of effort to complete this course, start to finish, is equivalent to 7.5 CEUs and should take you approximately 7.5-22.5 hours to complete. Remember: You have access to the course materials for the full 16-week enrollment period and we encourage you to re-review any materials that are helpful to you.

Certificate of Completion
Upon successful completion of the course work, student will be able to download a Libman Education Certificate of Completion. The Certificate of Completion will list the course as awarding 7.5 CEUs.

This course has been/will be submitted for prior approval by AHIMA. Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.

AAPC: 7.5 CEUs
This program has the prior approval of AAPC for continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

  • WebinarPlus™ multimedia and interactive online course promotes engagement with challenging materials while offering independent self-study.
  • Teaching methods including audio and video files, diagrams, and animations to accommodate different learning styles. Where appropriate, the Merck Manual Professional Version supplements course materials with in-depth descriptions of diagnoses and/or procedures.
  • Knowledge checks and/or final assessment ensure mastery of material.
  • Online Flexibility! Materials available via secure Learning Management System (LMS). Work at your own pace — save time and travel costs.
  • Earn Libman Education Certificate of Completion and CEUs.
  • To receive CEU credit, students must achieve a passing rate on the course assessment(s).
  • Course is self-paced. For planning purposes, assume 1-3 hours required for each CEU.
  • Unlimited course access during enrollment period. For courses offering greater than one CEU, enrollment period is 16 weeks. For courses offering one or fewer CEUs, enrollment period is 4 weeks. Courses purchased as a bundle or package may have a longer enrollment period.
  • Extensions to the enrollment period are available. Contact Libman Education for pricing.
  • Price listed is per person/per course. Group rates available upon request.

Special pricing available for groups. Train your entire team!

How Many In Your Group? Group Discount %
1 Retail Price
2-4 5% Discount
5-20 10% Discount
21+ Contact Us for Your Custom Price Quote:
[email protected]


Rose Dunn is the Chief Operating Officer of First Class Solutions, Inc., a healthcare information management leader since 1988, offering professional consulting services in health information management operations and information governance issues, as well as coding support, coding quality reviews, privacy/security guidance, temporary (interim) management, revenue cycle oversight, and accreditation preparation. Rose jumped into the weeds of ICD-10 more than 10 years before it was implemented and has been getting back into the weeds of HCCs for the last 2 years. Rose is the author of Libman Education’s online course: Fundamentals of HCC Coding as well as “The Revenue Integrity Manager’s Guidebook” available from the National Association of Healthcare Revenue Integrity and other books on coding management and auditing. Ms. Dunn holds a B.S. and M.B.A. from Saint Louis University.

“The quality of the courses that Libman presents is excellent” — Pamela S., RN, BSN, MSN, CCDS, Director, Clinical Documentation Improvement, Sharp Healthcare

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“Libman has exceeded my expectations so far in every way, with the content of courses, but the hands on with the instructors is one of the best and most genius things to offer! All other companies I’ve seen in my 12 years in this field do not offer this invaluable service with their education. Answers to questions on education content is something that was desperately needed, but to my knowledge, it was/is not offered anywhere else and this is what sets Libman apart from the rest. Also, your high quality education and very knowledgeable instructors.” — coding student

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