Risk Adjustment Coding and HCC Guide

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Power up your Adjustment Coding and HCC Guide2018 Optum360, LLCiContentsIntroduction ........................................ ........................................ ........................................ ..... 1History and purpose of RAF ........................................ ........................................ ........................................ ...1Key Terms Definitions ........................................ ........................................ ........................................ .............3Acceptable provider types/SOS ........................................ ........................................ ....................................5The provider s role ........................................ ........................................ ........................................ ...................6Payment Methodology.

hyperlipidemia, and obstructive sleep apnea (OSA). This note validates that the breast cancer is an active problem which is being treated. The provider documented that the patient is undergoing treatment with tamoxifen and is seeing an oncology provider. The history portion of this note also shows that it was updated on the date of service (DOS).

  Guide, Coding, Risks, Adjustment, Obstructive, Sleep, Aaenp, Obstructive sleep apnea, Risk adjustment coding and hcc guide