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How Are Your Risk Scores?

Thorough Coding And Proper Documentation Are Keys

This summer’s Alzheimer’s & Brain Awareness Month brings us to the important topic of risk adjustment in relation to more complicated health diagnoses.

 

Detailed documentation provides a clearer picture of patient health, supporting patient care and resulting in an accurate CMS risk score. This is crucial to our patient balance as we navigate value-based care with our physician cohorts.

 

Because risk scores are a relative number and reflect how much the patient's care will cost in a year-over-year projection compared to an average Medicare enrollee, it is vital to ensure appropriate coding of diagnoses and overall proper documentation.

 

Appropriate documentation also ensures compliance and avoids violations of the False Claims Act. To support our partners, Genuine Health Group is available to help physicians and other healthcare professionals produce comprehensive documentation with two goals: accurate revenue and enhancing patient outcomes.

 

With appropriate records review, training, and regular updates regarding diagnosis codes, physicians can concentrate on their patients and better serve members requiring additional support, such as those with Alzheimer’s and dementia. 

 

We're here to answer any questions about documentation, Medicare risk adjustment, and annual ICD-10 Coding Guidelines. 

 

Review our Compliance Note from our last newsletter.

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