Cover of Risk Adjustment Documentation and Coding

Risk Adjustment Documentation and Coding

Sheri Poe Bernard
Publisher: American Medical Association
Published: 2020
ISBN-13: 9781640160392
ISBN-10: 1640160396
Pages: 500
Subjects: Medical / Administration, Medical / Allied Health Services / Medical Coding & Billing, Medical / Diseases, Medical / Nosology, Social Science / Methodology
1 study resource available for this textbook

About Risk Adjustment Documentation and Coding

Capturing risk in medical documentation and coding successfully gives a complete and accurate picture of your patients'' health; but it is also critical for ensuring proper reimbursement, managing cost, projecting future resource requirements and delivering high-quality care. Chronic diseases are not outliers, especially in older patients. 80% percent of older adults have at least one chronic condition. If you have any Medicare patients with chronic conditions and if you are participating in Merit-based Incentive Payment Systems (MIPS), the AMA''s Risk Adjustment, Documentation and Coding 2e (RA, 2e) will help you capture the care rendered so the severity of your patients'' illnesses is adequately captured to reflect your utilization. If you omit risk-adjusting diagnoses because a specialist is managing the care of your patient''s chronic condition, you are hurting your MIPS efficiency rating. Most chronic conditions will impact the overall health of the patient; therefore, they are a...

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