Risk-adjustment practices consider chronic diseases as predictors of future healthcare needs and expenses. Detailed documentation and compliant diagnosis coding are critical for proper risk adjustment. Meticulous diagnostic documentation and coding is key to accurate risk-adjustment reporting. This book will help align the industry though an objective compilation and presentation of risk adjustment documentation and coding issues, guidance, and federal resources.

Risk adjustment basics -- Common administrative errors and processes -- Clinical documentation and coding for risk adjustment -- ICD-10-CM clinical documentation integrity and coding, by topic -- Developing risk adjustment policies.