Capture the most appropriate risk score for each patient

The process of risk adjustment accounts for known health conditions, allowing for comparison of wellness amongst patients. Most risk adjustment models utilize diagnosis codes to determine potential risks. The variables pulled from documentation can assist in identification of those patients with a higher medical need than others. The process of risk adjustment is used to predict both costs and allow for comparisons related to quality-of-care measures.
This course reviews various risk adjustment methodologies with a deep focus upon CMS Hierarchical Condition Categories. A review of risk score calculation and those diagnoses/conditions that offer impact will assist your efforts and success is risk adjustment reporting.