WHO IS THE BIGGEST RISK?

Ever wondered which HCC codes carry the highest risk during a RADV Audit?

The HCC model assigns a Risk Adjustment Factor (RAF) to each Medicare patient as measurement of probable costs, which is then used to adjust capitation payments for patients enrolled in Medicare Advantage plans. When a RADV audit occurs there are certain codes that have a higher risk of being audited than others. 

Download the High Risk HCC Codes Infographic to learn which codes you should be watching carefully,

 

 

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