” model was designed to most accurately predict spending at the group level, not the individual beneficiary level. Using this article as a guide, we’ll go through the fundamentals of risk adjustment models and our five recommendations to Improve HCC Coding and Risk Adjustment. Following are the steps which will help to Improve HCC coding and risk adjustment accuracy -
1- Having an accurate and updated problem list.
2- See patients at least once a year.
3- Public education and information dissemination.
4- EMR optimization and better decision assistance.
5- Monitoring performance and spotting potential.
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