Risk Adjustment 101 Participant Guide

This Risk Adjustment 101 program is designed for individuals who are either new to the risk adjustment process or desire a refresher of the basics.

The primary audience for this program includes:

Medicare Advantage (MA) and Medicare Advantage-Prescription Drug (MA-PD) organizations; Regional and Employer Group Health plans;

Demonstration projects;

Program of All-Inclusive Care for the Elderly (PACE) organizations;

Specialty plans; and Third party submitters contracted to submit data on behalf of risk adjustment organizations.

This is good for us risk adjustment coders to have a knowledge about this, but it is mostly used by the health plans.

https://www.csscoperations.com/internet/csscw3_files.nsf/F/CSSC2013_RA101ParticipantGuide_5CR_081513.pdf/$FILE/2013_RA101ParticipantGuide_5CR_081513.pdf

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