Risk Adjustment Primer 2018

Risk Adjustment Primer 2018
ISBN: 978-1-63527-412-7
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Ensure you understand the nuts and bolts of the CMS’ risk adjustment program.

Are you struggling to get a handle on the CMS risk adjustment programs? We can help.

Bank on TCI’s end-to-end Risk Adjustment Primer 2018 to ensure you grasp the impact of these programs on your organization and equip you to navigate the risk assessment data that factors into patients’ risk scores.  

Leverage authoritative advice on policy to secure accurate data collection. Learn how to calculate Hierarchical Condition Category (HCC) diagnostic codes. Rely on essential tools to nail down documentation deficiencies and improve your risk scores. Reduce the impact of the value-based purchasing program, sort out the CMS overpayment rule… and so much more.

Master your risk adjustment regulatory requirement challenges:

  • The Nuts and Bolts of Hierarchical Condition Categories (HCCs)
  • Get the Lowdown on Risk Adjustment (RA)
  • Zip Through HCC Coding Tips
  • Identify Your Top HCCs and Master Specificity
  • Round up AWOL Revenue with a Solid Clinical Documentation Improvement (CDI) Process
  • Power up for Risk Adjustment Data Validation (RADV) Audits
  • Tackle Insight on HCCs and MACRA
  • When VBP Risk Adjustment Doesn’t Compensate Enough
  • Conquer Risk Adjustment with the CMS Toolkit
    • Annual Schedule
    • Risk Adjustment Models – Overview
    • Calibration of the CMS-HCC Risk Adjustment Models
    • CMS-HCC Risk Adjustment Model
    • End Stage Renal Disease (ESRD)
    • Prescription Drug Hierarchical Condition Categories (RxHCC)
    • CMS RxHCC Risk Adjustment Model Compared with the CMS-HCC Risk Adjustment Model
    • Frailty Adjuster
    • Normalization Factor
    • MA Coding Adjustment
    • High-level checklist of all plan requirements
    • Risk Adjustment Process and Payment Operations
    • Data Collection to Support Risk Adjustment
    • Submission and Flow of Risk Adjustment Data
    • Risk Score Verification Tools Glossary of Terms
    • And so much more!


Lessen your compliance risk by understanding how the CMS-HCC Risk Adjustment Model affects your practice.

ORDER ONLINE or call 1-800-508-2582 today to get your copy of the Risk Adjustment Primer 2018.
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