Risk Adjustment Acceptable Provider Credential List

Risk Adjustment Acceptable Provider Credential List

Acceptable Credential	Description of Credential
A-GNP	Adult-Gerontology Primary Care Nurse Practitioner
ACCNS-AG	Clinical Nurse Specialist; Wellness through Acute Care (Adult-Gerontology)
ACCNS-N	Clinical Nurse Specialist; Wellness through Acute Care (Neonatal)
ACCNS-P	Clinical Nurse Specialist, Wellness through Acute Care (Pediatric)
ACNP	Acute Care Nurse Practitioner
ACNPC-AG	Acute Care Nurse Practitioner (Adult-Gerontology)
ACNS-BC	Adult Health Clinical Nurse Specialist
AGACNP-BC	Adult-Gerontology Acute Care Nurse Practitioner
AGCNS-BC	Adult-Gerontology Clinical Nurse Specialist
AGPCNP-BC	Adult-Gerontology Primary Care Nurse Practitioner
ANP	Adult Nurse Practitioner
ANP-BC	Adult Nurse Practitioner
ACNPC	Acute Care Nurse Practitioner (Adult)
AOCNP	Advanced Oncology Certified Nurse Practitioner
AOCNS	Advanced Oncology Certified Clinical Nurse Specialist
APRN	Advanced Practice Registered Nurse
A.U., Au.D.	Audiologist
CCC-A	Certificate of Clinical Competence in Audiology
CCC-SLP	Certificate of Clinical Competence in Audiology - Speech Language Pathology
CCNS	Acute/Critical Care Clinical Nurse Specialist (Adult, Pediatric & Neonatal)
CENP	Certified in Executive Nursing Practice
CFNP	Certified Family Nurse Practitioner
CNM	Certified Nurse Midwife

CNN-NP	Certified Nephrology Nurse-Nurse Practitioner
CNP	Certified Nurse Practitioner
CNS	Clinical Nurse Specialist
CNS-BC	Clinical Nurse Specialist, Core
CPM	Certified Professional Midwife
CPNP-PC	Certified Pediatric Nurse Practitioner-Primary Care
CRNA	Certified Registered Nurse Anesthetist
CRNP	Certified Registered Nurse Practitioner
CUNP	Certified Urologic Nurse Practitioner
DO	Doctor of Osteopathy
DCNP	Dermatology Certified Nurse Practitioner
DPM	Doctor of Podiatric Medicine
DPT	Doctor of Physical Therapy
ENP-BC	Emergency Nurse Practitioner (specialty certification)
FNP	Family Nurse Practitioner
FNP-BC	Family Nurse Practitioner
FNP-C	Family Nurse Practitioner
GCNS-BC	Gerontological Clinical Nurse Specialist
GNP-BC	Gerontological Nurse Practitioner
LCSW	Licensed Clinical Social Worker
LISW	Licensed Independent Social Worker
MD	Medical Doctor
NNP-BC	NNP-BC - Neonatal Nurse Practitioner
NP-C	Adult Nurse Practitioner
OD	Doctor of Optometry
OCNS-C	Orthopaedic Clinical Nurse Specialist - Certified
ONP-C	Orthopaedic Nurse Practitioner-Certified
OTR	Registered Occupational Therapist

PA	Physician Assistant
PT	Physical Therapist
PA-C	Certified Physician Assistant
PCNS-BC	Pediatric Clinical Nurse Specialist
Ph.D.	Doctor of Philosophy (Per RADV Medical Record Reviewer Guidance, “acceptable when the note is a mental health encounter. In counseling notes, the PhD is likely a Psychologist”)
PMHCNS-BC	Adult Psychiatric-Mental Health Clinical Nurse Specialist
PMHNP-BC	Adult Psychiatric-Mental Health Nurse Practitioner
PPCPN-BC	Pediatric Primary Care Nurse Practitioner
PsyD	Doctor of Psychology
RPT	Registered Physical Therapist

No Guarantees or Warranties. Except as expressly provided in the Agreement, neither Customer nor CCO makes any guarantees or warranties of any kind, expressed or implied, regarding the Data contained in this document. CCO specifically disclaims all implied warranties of any kind or nature, including any implied warranty of merchantability and/or any implied warranty of fitness for a particular purpose.

---

1 This is not an all inclusive list and is for reference purposes only. References: https://nurse.org/articles/nursing-certifications-credentials-list/ https://www.cms.gov/files/document/medical-record-reviewer-guidance-january-2020.pdf https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/AcceptablePhysicianSpecialtyTypesPY2021.pdf

Certification Coaching Organization LLC https://www.cco.us/

CCO Proprietary Information Sharing is Permitted