CRC (Court Reporting Certifications) case studies
CRC · Put your knowledge to work in context.
The Certified Risk Adjustment Coder (CRC) credential is a professional certification offered by AAPC that validates expertise in risk adjustment coding. It demonstrates proficiency in applying ICD-10-CM diagnosis codes to capture the complete health status of patients in value-based care models, with emphasis on coding chronic and complex conditions accurately and in compliance with risk adjustment guidelines. The CRC case studies are 5 cases and about 3,055 words.
1The Problem List Is Not the Assessment: Diabetes and Kidney Disease in a Three-Problem Visit
Alvarez is a 68-year-old man in a Medicare Advantage plan who is seen for a routine follow-up at his primary care office on March 12. The provider's assessment reads: 'Type 2 diabetes mellitus, stable - continue metformin (held today).
610 words, about 3 min2Acute on Chronic Heart Failure With Hypertension and CKD: Sequencing, Presumption, and Conflict
Chen, 74, is admitted August 4 with three days of worsening dyspnea, orthopnea, and 3+ pitting edema to mid-shin. BNP is 1,850 pg/mL; chest x-ray shows pulmonary vascular congestion; echocardiogram shows an ejection fraction of 32%, down from 40% six months earlier.
627 words, about 3 min3New Enrollee, New Plan Year: Which Diagnoses Move Which Payment
Okafor turns 65 in November 2024 and enrolls in a Medicare Advantage plan effective January 1, 2025. He has never been in Medicare; through 2024 he held a marketplace silver plan.
625 words, about 3 min4The 30-Chart Internal Audit: Error Rate, Offsets, and What Leadership Should Do
Riverbend Primary Care has 1,200 Medicare Advantage patients. In June the compliance officer audits 30 randomly selected 2024 charts covering 32 submitted HCCs and finds 7 unsupported: 3 rest on 'history of' language (history of lung cancer, history of stroke), 2 rest on 'probable' or 'cannot be ruled out' statements in outpatient notes, and 2 have no mention of the condition anywhere in the 2024 record.
589 words, about 3 min5The Consultant's Query: 'History of' Cancer, Low BMI, and a Leading Question
Patel documents in a follow-up note: 'History of colon cancer, status post resection 2018, no evidence of disease. Anemia, likely due to chronic disease.
604 words, about 3 min