tci Medicare Compliance & Reimbursement - 2022 Issue Q2

Risk Adjustment: Find Out the Facts on Risk Adjustment

Understand how more patient diagnoses increase the cumulative risks. Risk adjustment can help providers and payers predict future costs of patient care and health outcomes based on a myriad of data, which can save money for both. Details: If you are new to risk adjustment and not sure where to start, instructor Sheri Poe Bernard, CRC, CPC-I, CDEO, CCS-P, gave a high-level review of the topic in the 2021 RISKCON session “Risk Adjustment for Beginners.” Poe Bernard identified what you should consider as you are learning about risk adjustment, as well as which diagnoses actually risk-adjust. Read...

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