2019 Risk Adjustment HCC Edition

Risk adjustment coding is a process by which healthcare insurers are compensated based on the healthcare status of their beneficiaries. Understanding Risk Adjustment coding is vital not only for the payers but also the providers. This book will bring clarity to the process with information on:

• Risk adjustment essentials
• HCC risk adjustment models and ICD-10-CM crosswalks
• Understanding and maximizing ICD-10-CM code selection
• Provider Documentation Guides (PDGs) for better provider documentation
• Diagnosis hierarchies