HCC Blog by Caridad

from the Medicare Learning Network a 4:54 minute video on "The Importance of Proper Documentation". Published Apr 17, 2018 be sure to follow  CMSHHSgov   on YouTube here is a link to the video on YouTube https://www.youtube.com/watch? v=10pmw4czf08   Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations.  The information presented herein is for general informational purposes only and is accurate as of the date of publication.

I came across this excellent publication entitled THE EVER-GROWING COMPLEXITY OF RISK SCORE CALCULATION – 2019 & BEYOND by Gorman Health Group Topics covered : Risk Adjustment Overview Data Submissions      • RAPS      • EDPS      • Transitional Impacts Cures Act on Risk Adjustment 2019 Risk Adjustment Model Changes Cures Act on Risk Adjustment 2019 Risk Adjustment Model Changes highlights, slide 8: RAPS = Risk Adjustment Processing System Risk adjustment is the method used to adjust bids and payments to health plans based on demographics (e.g., age and gender) as well as actual health status of a plan’s enrollees. Medicare risk adjustment is prospective, meaning diagnoses from the previous year and demographic information are used to predict future costs and adjust payment. and on slide 10: EDPS = Encounter Data Processing System Encounter data is detailed data generated by healthcare providers, such as doctors and ...