Foster Compliance With These 4 Risk Adjustment Steps
Know which provider types fall into the ‘acceptable’ category.
If you’re interested in adding risk adjustment to your practice work plan, consider these four steps as you begin your program.
Step 1: Verify that you meet the Centers for Medicare & Medicaid Services’ (CMS’) documentation requirements such as the following:
Signature: Records must contain a valid provider signature and credentials.
Date: Each face-to-face date of service (DOS) stands alone for outpatient reporting.
Patient name: Record must be for the correct member/patient.
Acceptable encounter: Acceptable services should be billed and processed.
Step 2: Ensure you code all...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: