Knowledge Center
By Yves-Edouard Baron
Feb 1st, 2022
Comments Off on Realize the Importance of Risk Adjustment Coders
Know their role in helping healthcare providers improve the accuracy of patients’ RAF scores. In a risk-adjusted health plan, such as Medicare Advantage, funding for a patient’s care depends on the documented diagnoses. All current diagnoses must be ...
Ensure your organization receives credit for its chronically ill patients where credit is due. Requests for medical records come from many sources for different reasons. One reason is for quality assessment review of clinical documentation by contract...
By Yves-Edouard Baron
In Coding
Jun 10th, 2019
Comments Off on Guideline I.A.15: The One that Makes Risk Adjustment Coders Happy
Providers no longer need to link documentation to diabetes mellitus for certain related conditions for coding; it’s implied. Medicare risk adjustment (MRA) coders identify active diagnoses that determine a patient’s level of risk (the likelihood of t...
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