Tag: risk adjustment

How to Maximize Your Medicare Reimbursements Through Risk Adjustment Coding

The complexities of Medicare Advantage and the Affordable Care Act can be daunting. But with the right knowledge and tools, you can maximize your reimbursement through risk adjustment coding. Health plans rely on accurate medical record documentation and diagnosis coding to calculate risk scores for their enrollees. This process helps level the playing field between […]

Medical Risk Adjustment: What is it, Importance and Benefits

What Is Risk Adjustment? Risk adjustment is a yearly process that companies use to reimburse health plans for the cost of bringing on patients. If one applied risk management, and your health plan has more than the average number of patients with chronic illness, it will be eligible for risk-adjusted payments. If the plan has […]

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