Certification Healthcare Record Review (CHRR®) Course Syllabus

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Course Description
Course Objectives
Course Length
Course Books
Certification Healthcare Record Reviewer (CHRR®) Course Syllabus

Intended Audience
People interested in the following careers working with healthcare records, such as doctors, physicians, nurses, physical therapists, physician assistants, dentists, chiropractors, medical writers and editors, copyeditors, medical receptionists, medical transcription or transcriptionist, medical assistant, medical coding and billing, and health information or medical directors.

Course Description
The concept of our course program focuses on analyzing medical record charts for the appropriate compliance following and monitoring regulatory changes applying medical record review concepts and principles during the review process, medical chart reviewing, healthcare data abstraction, and chart abstraction that specialized in hybrid stars performance measures.


Course Objectives
Students will be able to perform chart review and data abstraction for hybrid stars performance measures and ensure members’ clinical documentation is accurately retrieved from the patient’s health record according to the NCQA guidelines specification.

  • Introduction to Healthcare Reform, HIPAA, and Health Insurance Products
  • Understand the Five (5) Star Quality Rating System
  • Define different methods of Chart Abstraction
  • Apply Data Collection Method & Data Sources
  • Understand Hybrid Measures Commonly Used
  • Identify Different Types of Medical Record Reviews
  • Explain Record Reviewer’s Role in HEDIS®, Hybrid Measures Quality Measurement Method Indicators

Course Content:

The Industry of Medical Record Review
  • What’s In a Medical Record
  • Electronic Medical/Health Records (EMR)/(EHR)
  • Types of Chart Reviews in Quality Care
  • Healthcare Providers

Patient’s Rights & Insurance Products
  • Health Insurance Portability & Accountability Act (HIPAA)
  • What is PHI?
  • Health Insurance Products
  • Health Maintenance Organization (HMO)
  • Medicare
  • Medicaid
  • Tricare
  • Health Care Reform Bill
  • Quality of Care Initiative
  • Introduction to NCQA

Center for Medicare & Medicaid Services (CMS) STAR Ratings?
  • How is HEDIS® Data Used?
  • Components of HEDIS®
  • Data Collections Methods
  • 6 Domains of Quality Care
  • Key Terms to Know
  • Most Common Identifiers
  • Date of Service

Exclusions
  • What Are Exclusions in STAR Ratings Measures?
  • How to Identify and Abstract Exclusions

Frequently Used Hybrid STAR Measures
  • Screening for Lead in Children
  • Childhood Vaccination
  • Weight Counseling, Referral & Assessment
  • Vaccination for Adolescents
  • Cervical Cancer
  • Colon Cancer
  • Advance Care Planning
  • Care for the Elderly
  • Pregnancy: Pre and Post Care
  • High Blood Pressure
  • Diabetes: Hemoglobin A1C
  • Diabetes: Kidneys
  • Diabetes: Blood Pressure
  • Diabetes: Eye Exam
  • Outpatient: Transition of Care
CHRR® Certification Course Length
Online Live Virtual - The live virtual instructor led course and certification exam is designed to be completed with the required clock hours and certification exam with thirty (30) days of completion of course. Separate from reading & study time, this course includes approximately 12-18 clock hours of contact work and 40 hours of self-study time.

Online Self-Paced – The self-paced course and certification exam is designed to be completed in sixty (60) days. Reading & study time, this course includes approximately 52 - 58 hours of self-study time.

Each student has 1 attempt to pass the exam. If the student does not pass the exam, the student will not be certified and cannot use the credentials behind their name.
Successful Course Completion includes: A passing score of 95% or higher on final exam.

The certification is valid for 2 years after successfully meeting the requirements and passing the CHRR® exam.
Course Books

Recommended Body of Knowledge Books (included with live and onsite purchase)
  • Certified Healthcare Record Reviewer® (CHRR®): Participant’s Official Study Guide, (NC: 2023), Volume 3.
  • Certified Healthcare Record Reviewer® (CHRR®): Participant’s Official Workbook, (NC: 2023), Volume 1.
  • Medical Record Review, MRR:2023, Q&A (NY:2023), 3rd edition.