Risk adjustment is a process that the Centers for Medicare & Medicaid Services (CMS) uses to reimburse Medicare Advantage (MA) plans based on the health status of members. Risk adjustment ensures that CMS pays plans appropriately for members’ predicted health costs based on demographics (age and gender) and health status (claims data).
Email us at the following address: MedicareRiskAdj@hmsa.com
|Rev#:||Date:||Nature of Change:|
|1.0||08/15/2017||Added links for the Risk Adjustment - The Importance of Coding Specificity and Documentation Webinar.|
|1.1||08/23/2017||Revised the Training Webinar section.|
|1.2||08/29/2017||Added new sections with accompanying PDFs: General Coding and Documentation Tips, Commonly Coded Diagnoses, and Clinical Documentation Tips - By Specialty.|
|1.3||09/29/2017||Added the links to Success in 2017: Quality Changes, Risk Adjustment, and Care for Older Adults Webinar (7/26/17 & 1/11/17).|
|1.4||11/09/2017||Added content to the new section: Medicare Risk Adjustment.|
|1.5||06/13/2018||Added two new training links: Risk Coding & Clinical Documentation Webinar (03/28/18) and Success in 2018: Quality Changes, Risk Adjustment, and Care for Older Adults Webinar (02/07/18).|
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