What's in the deck
130 cards split across 10 topic areas, each one a single question with a short, direct answer — built for practice and self-study, not for memorizing exam answers. These are general knowledge and terminology cards, the same kind of review material you'd find in any exam-prep book.
| Category | Cards |
|---|---|
| Risk Adjustment Fundamentals | 13 cards |
| HCC (Hierarchical Condition Categories) Model Basics | 13 cards |
| RAF (Risk Adjustment Factor) Scores | 13 cards |
| ICD-10-CM Coding for Risk Adjustment | 13 cards |
| MEAT Documentation Standard (Monitor/Evaluate/Assess/Treat) | 13 cards |
| CMS-HCC vs. HHS-HCC Models | 13 cards |
| Medicare Advantage Basics | 13 cards |
| RADV Audits & Compliance | 13 cards |
| Common Risk-Adjusted Conditions | 13 cards |
| Provider Documentation & Query Best Practices for Risk Adjustment | 13 cards |
Sample cards
Four real cards from the deck, front and back, so you know exactly what you're getting before you buy:
What is a 'risk pool'?
A group of enrollees whose collective health risk and costs are used to calculate premiums or capitated payments.
Can a 'history of' code be used to report an active, ongoing chronic condition for risk adjustment purposes?
No. History codes indicate a resolved condition and generally do not map to HCCs representing active chronic disease management.
What does 'concurrent' risk adjustment mean, as used in the HHS-HCC model?
Diagnoses from the current benefit year are used to adjust payment for that same year, rather than predicting the following year as in a prospective model.
What vascular condition affecting circulation, especially in the legs, is often an underreported risk-adjusted diagnosis?
Peripheral vascular disease (peripheral artery disease).
The full deck continues with 126 more cards across all 10 categories — delivered as a print-ready PDF you can study on screen or print out and cut apart.
Get all 130 flashcards
A print-ready PDF covering every topic area on the CRC (Certified Risk Adjustment Coder) exam, numbered and organized by category.
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Read: Introduction to CRC →