iVail Courses

The managed-care Medicare Risk Adjustment (MRA) model is vastly different from the Fee for Service (FFS) model. This course is designed to provide a comprehensive understanding of the MRA funding model, including its key differences from the FFS reimbursement model. You will learn about the intricacies of documentation and coding, how they are used to predict patient morbidity and mortality, and ultimately, the cost of care. Additionally, you will gain insight into how the office staff works together to support providers and ensure compliance with internal and external controls.

Building on CMS's transition from HCC Model V24 to V28, this course integrates business, clinical, operational, and compliance perspectives so that physicians, coders, CDIs, and practice leaders can document care accurately, capture valid risk, and sustain quality-driven revenue. The structure follows the week-by-week format of our Introductory MRA course while weaving in a deeper, change-management focus and the most recent transition guidance.