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What Is Risk Adjustment? – AAPC
- https://www.aapc.com/risk-adjustment/risk-adjustment.aspx
- Risk adjustment is a methodology that equates the health status of a person to a number, called a risk score, to predict healthcare costs. The “risk” to a health plan insuring members with expected high healthcare use is “adjusted” by also insuring members with …
Risk Adjustment Methodology Overview - Centers …
- https://www.cms.gov/CCIIO/Resources/Presentations/Downloads/hie-risk-adjustment-methodology.pdf
- • Risk adjustment model means an actuarial tool used to predict health care costs based on the relative actuarial risk of enrollees in risk adjustment covered plans …
Risk Adjustment: What Is It & How Does It Impact …
- https://omcare.com/risk-adjustment/
- Risk Adjustment Factors — known as RAFs — are the average risk scores for specific HCCs. They’re used in combination with demographics to determine an …
Risk Adjustment Documentation and Diagnosis Coding
- https://www.aapc.com/risk-adjustment/documentation-coding.aspx
- Risk adjustment is a payment methodology developed primarily for insurers. Health plans that participate in government-developed risk adjustment programs accept …
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