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,