SMG Risk Adjustment and the Importance of Accurate and Complete Documentation and Coding

Review HCC Value Based Risk Adjustment model(s) and why it is important Stronger understanding of the medical coding guidelines and regulations, including compliance and the impact of diagnosis coding Mindfulness to the auditing process for CMS- HCC risk adjustment models Awareness of “other” HCC Risk Models (Commercial, Medicaid) Athena ICD-10-CM Order Sets and their value