Risk Adjustment and the Importance of Documentation and Coding

• Review CMS-HCC risk adjustment model and why it is important • Understand common conditions in the CMS-HCC risk adjustment model and how to properly document and code in ICD-10-CM • Review specific official ICD-10-CM coding guidelines and how they are applied for HCC diagnosis coding • Identify elements of the medical record that help support the validation of an HCC diagnosis condition • Identify documentation deficiencies for specific conditions