Transcription of Risk Adjustment Coding and HCC Guide
{{id}} {{{paragraph}}}
Example: quiz answers
Risk Adjustment Coding and HCC Guide
Power up your Adjustment Coding and HCC Guide2018 Optum360, LLCiContentsIntroduction .. 1 History and purpose of RAF ..1 Key Terms Definitions ..3 Acceptable provider types/SOS ..5 The provider s role ..6 Payment Methodology ..8 RAF Payment Timeline ..12 Coding and Documentation ..15 Explanation of impact of good documentation (table example).. 15 CMS 20 Coding Guidelines .. 44 Tools (MEAT/TAMPER) .. 48 Coding Scenarios/Examples/Teaching .. 59 Audits .. 79 Medicare Advantage Risk Adjustment Data Validation (RADV) .. 79 Health Effectiveness Data & Information Set (HEDIS) .. 87 Internal Care and Quality Improvement Audits ..91 Care and Quality Improvement Audits .. 91 Appendixes - Includes HCC with description, hierarchies, and ICD-10 Mappings.
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).
Loading..
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document: