SMG 2023 Annual Risk Adjustment Provider Training: What you need to know for 2023
Risk Adjustment
Review Hierarchical Condition Category (HCC) Value Based Risk Adjustment model(s) and why it is important
Develop a stronger understanding of the medical coding guidelines and regulations, including compliance and the impact of diagnosis coding
Develop mindfulness to the auditing process for Center for Medicare and MedicaidServices (CMS) HCC risk adjustment models and reporting chronic conditions yearly.
Increase awareness of other HCC Risk Models (Commercial, Medicaid (TENNCARE))