Are your problem lists a problem? Providers have enough documentation burdens already. Problem lists, when up-to-date and accurate, can help facilitate patient safety and care and are a key aspect of some risk adjustment contracts. HIM and CDI specialists have a role to play.
HCC: Problem Lists
Rose T. Dunn, MBA, RHIA, CPA, FACHE
$79.00
CEUs: 1 1 AHIMA 1 AAPC
Included in eLearning Library. Price per person. Group rates available.Overview
Codes change yearly! We take seriously our obligation to provide you with accurate and up-to-date instruction. This course is updated for the FY 2026 code set.
Are your problem lists a problem? Providers have enough documentation burdens already. Problem lists, when up-to-date and accurate, can help facilitate patient safety and care and are a key aspect of some risk adjustment contracts. HIM and CDI specialists have a role to play.
HCC: Problem Lists will address this critical aspect of clinical documentation:
- Establish and support a process of annual review to ensure the problem list is current and reflected in the provider’s documentation
- On going support for problem list accuracy: Coders and CDI Specialists may query providers or advise them on completeness of documentation
- How to improve the organization’s annual re-set recovery for Medicare Advantage patients
HCC: Problem Lists
- What are Problem Lists
- Problem List Benefits
- Problem List Risks
- Clinical Documentation and Problem Lists
- HCC Rules
- Medical Record Reviewer Guidance
- Challenges for Problem Lists
- Making Problem Lists Meaningful
- Patient Assessment Form
- Who is Responsible and Who Has Authority?
The level of effort to complete this course, start to finish, is equivalent to 1 CEU and should take you approximately 1-3 hours to complete. Remember: You have access to the course materials for the full 4-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 1 CEU.
AHIMA: 1 CEU
This course has been approved for continuing education units (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
AAPC: 1 CEU
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 training format promotes engagement with challenging materials while offering independent self-study.
- Downloadable and printable “Course Highlights” saves time! This active learning tool assists with mastery of the course content.
- 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.
- Price listed is per person/per course. Group rates available upon request.
Rose T. Dunn, MBA, RHIA, CPA, FACHE
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 HCC courses were great! Especially liked the HCC course on Problem Lists: Challenges and Opportunities. So informative and well put together. Thanks!” — Gay Martin, RHIT, Director of Health Information, Community Hospital – Fairfax
“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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Required Resources:
- ICD-10-CM Code Book – 2026 or students may elect to use electronic files
- CMS Guidelines for Coding and Reporting (online or book)
Recommended Resources:
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