Risk Adjustment Documentation and Coding

This book PDF is perfect for those who love Electronic Books genre, written by Sheri Poe Bernard and published by American Medical Association Press which was released on 02 March 2020 with total hardcover pages 500. You could read this book directly on your devices with pdf, epub and kindle format, check detail and related Risk Adjustment Documentation and Coding books below.

Risk Adjustment Documentation and Coding
Author : Sheri Poe Bernard
File Size : 55,9 Mb
Publisher : American Medical Association Press
Language : English
Release Date : 02 March 2020
ISBN : 1640160396
Pages : 500 pages
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Risk Adjustment Documentation and Coding by Sheri Poe Bernard Book PDF Summary

Risk-adjustment practices consider chronic diseases as predictors of future health care needs and expenses. Correct and detailed documentation and compliant diagnosis coding are critical for proper risk adjustment. Risk Adjustment Documentation & Coding, 2nd Edition provides: Risk-adjustment parameters to improve documentation related to severity of illness and chronic diseases. Code abstraction guidelines and recommendations to improve diagnostic coding accuracy without causing financial harm to the practice or health facility. Chronic disease ICD-10-CM coding summaries for quick reference and study. The impact of risk-adjustment coding (hierarchical condition category (HCC) coding) on a practice should not be underestimated: More than 75 million Americans are enrolled in risk-adjusted insurance plans. This population represents more than 20% of those insured in the United States. Insurance risk pools under the Affordable Care Act include risk adjustment. CMS has proposed expanding audits on risk-adjustment coding. FEATURES AND BENEFITS Five chapters delivering an overview of risk adjustment, common administrative errors, best practices, and guidance for development of internal risk-adjustment coding policies. Ten chronic disease ICD-10-CM coding summaries for quick reference and study. Two appendices offering mappings and tabular information of ICD-10-CM codes that risk-adjust to HCCs and RxHCCs. Learning and design features: Vocabulary terms highlighted within the text and defined at the bottom of the page. "Advice/Alert Notes" that highlight important coding and documentation advice from federal regulatory sources. "Sidebars" that provide derivative story and additional information, such as "Coding Tips" that guide coders with practical advice from sources like AHA's Coding Clinic and cautionary notes about conflicts and exceptions "Clinical Examples" that underscore key documentation issues for risk adjustment "Clinical Coding Examples" that provide snippets or full encounter notes and codes to illustrate risk-adjustment coding and documentation concepts "Documentation tips" that highlight recommendations to physicians regarding what should be included in the medical record or how ICD-10-CM may classify specific terms "Examples" that explain difficult concepts and promote understanding of those concepts as they relate to a section "FYI" call outs that provide quick facts "Abstract & Code It!" exercises that test diagnosis abstraction and coding skills (exclusive to Chapter 4) Extensive end-of-chapter "Evaluate Your Understanding" sections that include multiple-choice questions, true-or false questions, audit and Internet-based exercises. Two downloadable course tests and slide presentations for each chapter. Exclusive content for academic educators: A test bank containing 100 questions and a mock risk-adjustment certification exam with 150 questions.

Risk Adjustment Documentation and Coding

Risk-adjustment practices consider chronic diseases as predictors of future health care needs and expenses. Correct and detailed documentation and compliant diagnosis coding are critical for proper risk adjustment. Risk Adjustment Documentation & Coding, 2nd Edition provides: Risk-adjustment parameters to improve documentation related to severity of illness and chronic diseases. Code abstraction

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Risk Adjustment Documentation   Coding

"Risk-adjustment (RA) practices consider chronic diseases as predictors of future healthcare needs and expenses. Detailed documentation and compliant diagnosis coding are critical for proper RA. Risk Adjustment Documentation & Coding provides: RA parameters to improve documentation related to severity of illness and chronic diseases. Code abstraction designed to improve diagnostic coding

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Risk Adjustment Coding and Hcc Guide 2019

The Risk Adjustment Coding and HCC Guide brings together hard-to-find information about risk adjustment (RA) coding and hierarchical condition categories (HCCs) in a new comprehensive resource that explains this complex reimbursement methodology. Now your organization will have a guide that provides both the big picture and the fine detail needed

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Medicare Risk Adjustment and HCC Clinical Documentation Overview

Risk adjustment is a method to offset the cost of providing health insurance for individuals--such as those with chronic health conditions--who represent a relatively high risk to insurers. Under risk adjustment, an insurer who enrolls a greater-than-average number of high-risk individuals receives compensation to make up for extra costs associated

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MRA HCC CHART REVIEW and DOCUMENTATION GUIDE

A Hierarchical Condition Category (HCC) is defined as a risk adjustment model that is used to calculate risk scores to predict future healthcare costs. The Centers for Medicare and Medicaid Services' (CMS) CMS-HCC model is used to predict healthcare spending for Medicare Advantage Plan enrollees. The purpose of the scoring

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Physician s Pocket Guide to Medicare Risk Adjustment Documentation

This book is designed to offer quick documentation tips for providers from a medical coder/auditor point of view. Medicare Risk Adjustment is driven by diagnoses. Specific and supportive documentation is very important not only for appropriate code selection but also to validate patient diagnoses. So what is it exactly

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Risk Adjustment Coding and Hcc Guide

Download or read online Risk Adjustment Coding and Hcc Guide written by Anonim, published by Unknown which was released on 2020-11. Get Risk Adjustment Coding and Hcc Guide Books now! Available in PDF, ePub and Kindle.

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A few minutes to improve Risk documentation Accuracy even when you know nothing about Medicare Risk Adjustment

In "A Few Minutes to Improve Risk Documentation Accuracy even you know nothing about Medicare Risk Adjustment:" readers are introduced to the complex world of Medicare Risk Adjustment (MRA) documentation. This informative and accessible guide is designed to empower healthcare professionals and individuals alike, even those with limited knowledge of

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